Camp Scholarship Application

Galena Exploration Camp Scholarship Application

Scholarship approvals are based on funding and eligibility. We thank you for your interest in camp!
Camper's Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Camper's Age
School your Camper attends*
MaleFemale
YesNo
If you are applying to spring or winter camp, click the image below. If you are applying for a summer camp scholarship, Choose your top 3 camps below:
How did you hear about this opportunity?*
Contact Info. Please make sure that the below information is correct. We will be sending you updates on your application. Please allow up to two weeks before reaching out to check on the status of your application. For inquires please email visitorcenter@thegreatbasininstitute.org
Guardian Name*

First NameLast Name
Home Phone*

Area CodePhone Number
Email
example@example.com

Galena Exploration Camp Scholarship Application