Scholarship Request
Kids Camp 2023
If you are requesting scholarships for multiple children, please submit a request for each child.
Child's Name
First Name
Last Name
Grade Completed
Parent's Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I am requesting a
Partial Scholarship
Full Scholarship
If requesting a partial scholarship, what dollar amount of assistance are you requesting?
Submit
Should be Empty: