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
Type a question
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: