WinShape PC Scholarship Application 2025

Child 1*

First NameLast Name

Date of Birth*

Date

Current Grade 2024-25*

School camper attends*

If other, where?

Has the camper attended WinShape Camps for Communities before?*

YesNo

How many years?

Did the camper receive a scholarship?

YesNo

Do you have another camper?

YesNo

Camper Information - Child 2

First NameLast Name

Date of Birth*

Date

Current Grade 2024-25*

School camper attends*

If other, where?

Has the camper attended WinShape Camps for Communities before?*

YesNo

How many years?

Did the camper receive a scholarship?

YesNo

Do you have another camper?

YesNo

Camper Information - Child 3

First NameLast Name

Date of Birth*

Date

Current Grade 2024-25*

School camper attends*

If other, where?

Has the camper attended WinShape Camps for Communities before?*

YesNo

How many years?

Did the camper receive a scholarship?

YesNo

Do you have another camper?

YesNo

Camper Information - Child 4

First NameLast Name

Date of Birth*

Date

Current Grade 2024-25*

School camper attends*

If other, where?

Has the camper attended WinShape Camps for Communities before?*

YesNo

How many years?

Did the camper receive a scholarship?

YesNo

Do you have another camper?

YesNo

Camper Information - Child 5

First NameLast Name

Date of Birth*

Date

Current Grade 2024-25*

School camper attends*

If other, where?

Has the camper attended WinShape Camps for Communities before?*

YesNo

How many years?

Did the camper receive a scholarship?

YesNo

Parent/Guardian 1*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Please enter a valid phone number.

May we text you?*

YesNo

Email*

We will notify you of our decision via email.

Are you currently employed?*

YesNo

Employer

Monthly income

Monthly income from other sources

Parent/Guardian Information 2

First NameLast Name

Address (if different from above)

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number

Please enter a valid phone number.

May we text you?

YesNo

Email

example@example.com

Are you currently employed?

YesNo

Employer

Monthly income

Monthly income from other sources

Does your family currently attend a church? (This is for informational purposes only and has no bearing on scholarship awards)*

YesNo

Where?

If other, where?

Total number of adults in your household? *

Total number of children in your household? *

List the ages of children not included as campers on this application.

Will the camper(s) be attending any other camps over the summer?*

YesNo

If yes, where?

Briefly describe why your family needs a scholarship at this time:*

Please verify that you have read and understand the following by initialing each statement:

I understand that a member of our scholarship committee will contact me via phone to go over the above application. Initial

All applications are reviewed by our scholarship committee and you will receive a decision via email within 2 weeks of application. Please add winshape@familychurchpc.com to your contacts list, so our response doesn't go to spam. Initial

I understand that the full cost for WinShape Camps for Communities is $205 and recipients of a financial scholarship are ineligible to receive Kick off Week discounts or other promotional discounts. Initial

Full scholarships are generally not provided and all scholarships are awarded on the basis of fund availability and family need. Initial

All scholarship funds come from donations from our local community partners (churches & businesses). So sometimes it may be necessary to add recipients to a waiting list until additional funds become available. Initial

By accepting a scholarship I agree to do my best to ensure that my child attends every day of camp. Initial

If I receive a scholarship for my child I must contact Family Church PC at (941) 629-0444 as soon as possible if I decide not to use the scholarship or in the event that my child is not able to attend the camp for any reason. Failure to do so may disqualify your family from future scholarships. Initial*

Parent 1

I hereby affirm that the information in this application is correct and true to the best of my knowledge.

Signature*

Date*

Date

Parent 2

I hereby affirm that the information in this application is correct and true to the best of my knowledge.

Signature

Date

WinShape PC Scholarship Application 2025

Camper Information

Parent/Guardian Information

Family & Life Circumstances