Summer 2025 Scholarship Registration
Guardian's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How Many campers are you wanting to register?
*
1 Camper
2 Campers
3 Campers
4 Campers
Child 1 Name
First Name
Last Name
Child 1's Age
Please Select
6
7
8
9
10
11
Child 1's Birthday
-
Month
-
Day
Year
Date
Child 2 Name
First Name
Last Name
Child 2's Age
Please Select
6
7
8
9
10
11
Child 2's Birthday
-
Month
-
Day
Year
Date
Child 3 Name
First Name
Last Name
Child 3's Age
Please Select
6
7
8
9
10
11
Child 3's Birthday
-
Month
-
Day
Year
Date
Child 4 Name
First Name
Last Name
Child 4's Age
Please Select
6
7
8
9
10
11
Child 4's Birthday
-
Month
-
Day
Year
Date
How many weeks of camp would you like to be considered for? (Please note that your preference is not guaranteed.)
*
How much are you able to pay toward your camper's week of camp?
*
Camp Preferences
*
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Upload your paperwork either showing your financial need, or a statement of need.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How did you hear about us?
Submit
Should be Empty: