Camp Scholarship for Mission Meadows

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Complete by June 1st of the camp year. Be sure to fill out this entire form in order to be approved.
This is NOT a registration for camp - visit missionmeadows.org to register directly.
Zion Covenant Church donates funds towards students registered for camp at Mission Meadows. You will be notified by email of the amount each child receives; however a check will be sent directly to camp.

Email *

Last/First names of parents *

Best cell contact *

Home address *

What is your relationship to Zion Covenant Church? *

Attend regularly

Grandparents attend regularly

We do not attend but would like our child(ren) to experience camp

How many children will be attending camp? *

First student's full name *

First student's age and birthdate *

First student's grade completed this year *

First student's camp days and dates (eg. M, T, F; Aug 2, 3 and 6) *

Second student's full name

Second student's age and birthdate

Second student's grade completed this year

Second student's camp days and dates (eg. M, T, F; Aug 2, 3 and 6)

Third student's full name

Third student's age and birthdate

Third student's grade completed this year

Third student's camp days and dates (eg. M, T, F; Aug 2, 3 and 6)

Fourth student's full name

Fourth student's age and birthdate

Fourth student's grade completed this year

Fourth student's camp days and dates (eg. M, T, F; Aug 2, 3 and 6)

Fifth student's full name

Fifth student's age and birthdate

Fifth student's grade completed this year

Fifth student's camp days and dates (eg. M, T, F; Aug 2, 3 and 6)

Did you check to make sure each student's information is fully entered? *

Yes

Required

Did you register by the March 1st deadline? *

Yes

Did you register by the May 1st deadline? *

Yes

Thanks! If you have any questions, please note below.

A copy of your responses will be emailed to the address you provided.

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