Camp Scholarship Application

Camper's first name

Camper's last name

Responsible adult first name

Responsible adult last name

Responsible adult email

Responsible adult address and phone number

Which camp session will the camper attend?

Home Church

Pastor's name

Pastor's phone number

Youth minister/Sponsor name

Youth minister/Sponsor phone number

What does the camper love best about camp?

If you need more financial assistance, please call Olivia See at 316-775-1222.

Almost done. Where should we send the confirmation?

Name

Mobile Phone Number

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