2026 Peace Camp Scholarship Application

2026 Peace Camp Scholarship Application
Parent/Guardian Name*

First NameLast Name
Camper Name(s)*

First NameLast Name
Camper Name(s)

First NameLast Name
Camper Name(s)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Peace Camp at Heartland Farm is a 5-day day camp experience for boys and girls ages 8-11 with a fee of $165 per camper. An additional daily van transport from either Great Bend or Larned is available for an additional $25 per child for the week. Please complete the following:
What do you hope your child will gain through the Peace Camp experience?*
Please explain briefly your need for a partial scholarship at this time. (This information is confidential and will only be used by Heartland Farm staff in approving funding.)*
Amount of funding you are requesting for:
Please put $0 in fields left blank.
Camper tuition: $ *Transportation: $ *
We will reach out via email with the amount of scholarship approved. Please pay the remaining balance no later than May 15.
Please sign below.
Typed Name Signature*
Should be Empty:

Typed Name Signature*