Lake Nixon Summer Day Camp Scholarship Request Form

Summer Day Camp 2023

Request for Financial Assistance
Lake Nixon has limited scholarship funds available to help families whose financial circumstances would otherwise prevent them from experiencing summer day camp in 2023. Scholarship determinations will be based on a variety of factors including: need; available funding/number of weeks requested; availability of spots during the weeks requested; prior history with Lake Nixon; and requests submitted by sponsor organizations/ministries (especially those with whom Second Baptist Church has a relationship).

If you have not yet submitted an application for summer day camp, please do that first here: https://lakenixon.campintouch.com/ui/forms/application/camper/App
Parent/Sponsor/Guardian information
Email*
(Please use the same address that you used for camp registration)
What is the best phone number for reaching you?*
Please enter a valid phone number.
Camper(s) Information
For how many campers are you seeking assistance?*
What is/are their name(s)?*
Use one line for each prospective camper. We will use this information to confirm the match with information from camp registrations.
General Overview of Household Need
How many people are in your household?*
What is your annual gross income?*
(We are not requesting or requiring documentation to verify responses, but we ask for truthful responses)
Additional Information
Do you, or the potential campers have any prior history with Lake Nixon/Lake Nixon day camp, or Second Baptist Church and partner ministries of 2BC? (answers to this question will not determine decisions about financial assistance)
Are there other circumstances and needs that should be taken into consideration when evaluating this request? Has your summer schedule changed since you applied and selected weeks of camp?*
Should be Empty:

Summer Day Camp 2023

Parent/Sponsor/Guardian information

Camper(s) Information

General Overview of Household Need

Additional Information