FCA Camp Scholarship Application
* This application is to be completed by a parent.
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Email *
Camper Name(s) *
Camper's Email Address
Parent/Guardian's Name *
Parent/Guardian's Email Address *
Address - Street, City, State, Zip Code *
Phone Number, with area code *
School *
Camper(s) Birthdate *
Grade(s) Entering in Fall 2023 *
Which upcoming FCA Camp(s) do you plan to attend? *
Required
What amount of scholarship do you need in order for your child to attend camp? *
Parents Combine Gross income for previous year *
Has the camper attended an FCA Camp before? *
If yes, which years?
How did you hear about FCA Camp? *
Does your camper(s) need transportation? *
Any other information you'd like to share with us?  Questions about scholarship contact jcook@fca.org or 408-300-0744
A copy of your responses will be emailed to the address you provided.
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