eScholarship Application

eScholarship Application

Application for financial assistance towards: CCA, Family Camp, Camp InDeed, Camp Jack Jr. Counselor or Gather on the Mountain registration fee.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you a Camper, CCA or Camp Jack Jr. Counselor needing a scholarship?
Which event are you attending or need a scholarship for?
Please only submit this form after you have registered for Family Camp and placed a $100 deposit. Scholarships cannot be applied after you are paid in full.
Are you attending Camp InDeed as a Camper or a CCA?
Which weekend are you attending?
Which weekend(s) are you attending?
Which weekend are you attending?
List ALL people attending AND Age
Parish (if applicable)
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
Date

MonthDayYear
Date
Should be Empty: