Seneca Community Church Camp Financial Assistance Form

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Please complete this application if you have a financial need for summer camp. Please note we will look at attendance, as well as progress in church programs. We will do our best to fulfill the requested amount as funds are available to us.

Most of this form should be filled out by the student, with parent/guardian assistance, as needed.

Please fill out a separate form for each student requesting assistance.

Student Name *

Street Address
*

City

Home/Cell Phone Number
*

Age
*

Grade (currently enrolled) *

Name and Location of Camp
*

Amount of money requested
*

Why do you want to go to camp?

Are you currently attending youth programs at Seneca Community Church? (Select all that apply.)

I attend church.

I attend Awana.

I attend Ignite youth group.

I attend Sunday School.

I do not attend programs at Seneca Community Church.

Required

Parent/Guardian Signature

(Please sign full name as signature.)

Submit

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