GSSA Camp Scholarship Request
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email
example@example.com
Phone Number
Please enter a valid phone number.
Girl Name
First Name
Last Name
Amount of assistance requested
What week are your requesting assistance for?
Briefly explain need for financial assistance
Submit
Would you like to have a confidential phone conversation with our Camp Director or Chief Development Officer regarding this Camp Scholarship Request?
Yes
No
Should be Empty: