The best way to contact me (phone number and/or email address): *
Your answer
First and Last Name of the Camper seeking a scholarship (please complete one short form for each camper): *
Your answer
Program for which we are requesting a scholarship: *
Specific session for which you'd like financial support (Ex: type & week of summer camp, such as Discovery Week 3, or name of the retreat): *
Your answer
Date of the session the camper is attending: *
Your answer
Other camps or retreats the camper has attended or plans to attend at Clearwater Forest this year:
Your answer
Other family members registered for Clearwater Forest programs this year:
Your answer
Program Fee: *
Your answer
Our Family Can Pay: *
Your answer
Our Church or Presbytery Can Pay:
Your answer
If your church is providing any payments, please provide the Name of the Church, the Name of Church Contact, and Contact Information for the church/person to ensure that this money is credited to your account:
Your answer
Other Sources of Payment and Amount of Money Contributed:
Your answer
Amount Requested from Clearwater Forest: *
Your answer
Any additional information that would be helpful (optional):
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Presbyterian Clearwater Forest, Inc.. Report Abuse