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Wildrock Camp Scholarship Application
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* Indicates required question
Email
*
Your email
Your name (First and Last)
*
Your answer
Names and ages of child or children who would like to attend camp
*
Your answer
Which week or weeks are you interested in having your child or children attend? Include all weeks that may work for you.
*
Your answer
Please share why you are requesting a scholarship. Please include 1) gross annual household income and/or 2) a brief description of any extenuating circumstances that impact your ability to pay (if applicable.)
*
Your answer
Please let us know the amount you are able to contribute to the camp per child.
*
$10 or below
$10 - $50
$50 - $100
$100 - $150
$150 - $200
$200 - $300
Comments, questions, or concerns?
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