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Wonders of Water 4-H Day Camp in a Box Scholarship Request
Limited number of partial scholarships are available for this program. Please submit this form as soon as possible if you would like to apply.
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Camper Name
*
Your answer
Parent/Guardian Name
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Briefly state why this child will need scholarship assistance (medical bills, family situation, special education expenses, disaster, casualty losses, etc.).
*
Your answer
How much are you able to pay toward the $25 cost of this camp?
*
$15
$10
$5
None
Required
Thank you! We'll be in touch.
Your answer
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