Parent/Guardian Information

Name

Phone Number

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Phone Type

Address

18 Years of Age?

Student Information

Student Name

School

Grade - Current School Year

Financial Information

Please provide any information you're comfortable sharing about your financial circumstances that might help us determine a scholarship amount.

Reason(s) for not being able to earn money toward the trip...

Please provide any other information you think would be helpful.

I understand that my son or daughter will be expected to work to earn money towards camp.*

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