eScholarship Application

EScholarship Application

Application for financial assistance towards CCA registration fee, Family Camp, or our Senior Moment Retreat
Name*

First NameLast Name
Which event you are attending or need a scholarship for?*

CCA Registration Fee (Please ONLY select this option if you are wanting to be a CCA for Summer 2025 and need a scholarship)Family Camp 1 (June 13, 2025-June 15, 2025)Family Camp 2 (July 11, 2025 - July 13, 2025)Special Needs Family Camp (July 18-20, 2025 & September 26-28, 2025)Senior Moment Retreat (September 19-21, 2025)
List ALL people attending AND Age
Parish (if applicable)
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Please give a brief explanation of your need for financial assistance*
By signing submitting a scholarship form, you/your family agree to be included in our marketing efforts related to the event you attend (interviews, video, photo, testimonials, etc and attest that the above information is true and accurate*

Clear
Date*

MonthDayYear
Date
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EScholarship Application