Fall Retreat Scholarship Application
If you are in need of financial assistance to send your Child on A 707 or Rock retreat/camp please fill out and submit the following form and the Registration form by
To be eligible for Scholarship funds you must be a regular attender of The Rock/707 or a friend of a regular attender of The Rock/707? Are you/your child a regular attender of The Rock/707? If your answer is no, is the friend who invited you are regular attender, what is their name?
Only one form is needed per Family
if you have any questions, contact Kristin @ kristin.partyka@oakpointe.org
Name(s) of Child(ren) attending Winter Weekend
*
First Name(s)
Last Name
Grade
Parent / Guardian Name
*
First Name
Last Name
Parent/ Guardian Email
*
example@example.com
Parent/ Guardian Phone Number
*
Please enter a valid phone number.
How many children are requesting scholarship funds for?
*
Amount of Scholarship Requested (per Child):
*
$45 (Family pays $250 per child)
$95 (Family pays $200 per child)
$145 (Family Pays $150 per child)
$195 (Family Pays $100 per child)
$245 (Family Pays $50 per child)
Other
If you answered Other please indicate how much you are able to pay?
How are you planning to pay?
*
Cash
Check
Credt/Debit Card
Please briefly explain why you need financial assistance:
*
I understand that this is just a scholarship application, it is not a Retreat/Camp registration and I will still need to fill out the separate Retreat/Camp Registration for my child. If you have any questions contact Kristin.partyka@oakpointe.org
*
Yes I understand I must fill out a separate Registration form for my child
Submit
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