Laurelville Mud Weekends 2024 Group Scholarship Request Form

Laurelville Mud Weekends 2024 Group Scholarship Request Form

We’re passionate that our camps reflect the socio-economic, racial, and ethnic diversity in God’s kingdom. If a Mud Weekends experience is financially out of reach for your group, please fill out this scholarship form to apply for a full or partial scholarship. There is no need to submit a registration form if you submit this form.
Before starting your registration, please review the full Terms and Conditions.
Group Information
Minimum Requirements for Groups
- Trip Leader is 21 or older
- Minimum group size is 3
- Must have a leader for each gender of students attending. For example, if you only bring males, you only need male leaders.
  - For Middle School camps: At least one leader for each gender of student attending must be 18 or older.
  - For High School camps: At least one leader for each gender of student attending must be 21 or older.
- There must be at least a 1:10 ratio of adult leaders to students.
Your Name (Trip Leader)*

First NameLast Name
Church/Organization Name*
Church/Organization Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Have you lead a group to a Laurelville Mud Weekend in the past?*

YesNo
Has your group attended Laurelville Mud Weekends before?*

YesNo
Dates
We're excited to offer five Laurelville Mud Weekends (camps) this year! Camps 1 and 2 are open to campers in 6th - 8th grade, while Camps 3 and 4 are open to campers in 9th - 12th grade. Camp 5 is open to both middle school and high school students.

Camp 1: 11/1 - 11/3 | Middle School

Camp 2: 11/8 - 11/10 | Middle School

Camp 3: 11/15 - 11/17 | High School

Camp 4: 11/22 - 11/24 | High School

Camp 5: 12/6 - 12/8 | Middle School & High School

Below, you'll be asked whether you're bringing middle school or high school campers and then asked which camp you'd like to attend. If you need to register both middle school and high school campers for separate camps, please submit a form for each registration.
Select your registration type*

Middle school (Camps 1-2)High school (Camp 3-4)Hybrid (Camp 5)
Select the date you'd like to attend*

Camp 1: 11/1 - 11/3Camp 2: 11/8 - 11/10
Select the date you'd like to attend*

Camp 3: 11/15 - 11/17Camp 4: 11/22 - 11/24
Select the date you'd like to attend

Camp 5: 12/6 - 12/8
Request for Spots

Below, please indicate the number of adult leader (18 + years old) and camper spots you would like to request spaces for. We require a 1:10 ratio of adult leaders to campers.
Camper spots requested*
Adult leader spots requested*
Total spots requested*
Payment Information
How much per-spot do you anticipate your group can pay?*
Signature

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Laurelville Mud Weekends 2024 Group Scholarship Request Form

Group Information

Dates

Request for Spots

Payment Information