Summer Activity Financial Assistance Request
This form should be completed by a parent or guardian. Scholarship funds are limited, so please only request what is needed. Please apply early, before deadline of registration for event.
Parent's Name
First Name
Last Name
Student's Name(s)
First Name
Last Name
Parent's Email
example@example.com
Activities I need financial assistance with:
Reading Camp (Children)
Camp M-PAC (Children)
Mac Pac Adventure Day (Children)
Memphis Mission Trip(Youth)
Work Camp (Youth)
Camp Horizons (Youth)
I need assistance with
part of the event fee
the full event fee
I have requested assistance during the last 18 months
No
Yes
Comments /Notes
I understand I will be notified by email.
We typically will send you a discount code to use to register for a particular event.
Name of Parent/Guardian Making Request
Submit
Should be Empty: