Summer Financial Assistance Request
This form is to be completed by a parent or guardian. Please complete well before any activity deadline. Funds are limited. You will be notified by email of status of this request. If something changes and you do not need this scholarship, please let us know, so it can be shared with someone else.
Child's Full Name
First Name
Last Name
Parent/Guardian Making the Request
Parent's Email
example@example.com
Requesting assistance for
Camp M-MPAC
Cooking Camp
Adventure Day
Student: Camp Horizon
Student: Mission Trip
Student: Summer Retreat
Any notes about the request
Submit
Should be Empty: