WinShape PC Scholarship Application 2023
All information will be kept secure and confidential. Incomplete applications will not be accepted.
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Camper Information - Child 1
First & Last Name *
Date of Birth *
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DD
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YYYY
Current Grade (2022 - 2023) *
School Attended *
If other, where?
Has camper attended WinShape Camps for Communities before? *
If yes, how many years?
If yes, did camper receive a scholarship?
Clear selection
Camper Information - Child 2
First & Last Name
Date of Birth
MM
/
DD
/
YYYY
Current Grade (2022 - 2023)
Clear selection
School Attended
If other, where?
Has camper attended WinShape Camps for Communities before?
Clear selection
If yes, how many years?
If yes, did camper receive a scholarship?
Clear selection
Camper Information - Child 3
First & Last Name
Date of Birth
MM
/
DD
/
YYYY
Current Grade (2022 - 2023)
Clear selection
School Attended
If other, where?
Has camper attended WinShape Camps for Communities before?
Clear selection
If yes, how many years?
If yes, did camper receive a scholarship?
Clear selection
Parent/Guardian Information 1
Parent First & Last Name *
Address *
Primary Phone Number *
May we text you? *
Email Address *
Are you currently employed? *
Employer
Gross monthly income *
Monthly income from other sources
Parent/Guardian Information 2
Parent First & Last Name
Address (if different from above)
Primary Phone Number
May we text you?
Clear selection
Email Address
Are you currently employed?
Clear selection
Employer
Gross monthly income
Monthly income from other sources
Family & Life Circumstances
Does your family currently attend a church? *
(This is for informational purposes only and has no bearing on scholarship awards)
If yes, where?
If other, where?
Total number of people in your household? (Include all adults & children)   *
Will the student be attending any other camps over the summer? *
If yes, where?
Briefly describe why your family needs a scholarship at this time: *
By signing below I have read, understand and agree to the following:
- I understand that the full cost for WinShape Camps for Communities is $180 and recipients are ineligible to receive Kick off Week discounts or other promotional discounts.

- Full scholarships are generally not provided and all scholarships are awarded on the basis of fund availability and family need.

- All scholarship funds come from donations from our local community partners (churches & businesses). So sometimes it may be necessary to add recipients to a waiting list until additional funds become available.

- By accepting a scholarship I agree to do my best to ensure that my child attends every day of camp.

- If I receive a scholarship for my child I must contact Family Church PC at (941) 629-0444 as soon as possible if I decide not to use the scholarship or in the event that my child is not able to attend the camp for any reason. Failure to do so may disqualify your family from future scholarships. 
I agree that all the information completed on this application is complete, honest, and accurate. *
Parent/Guardian 1 (Type first and last name)
Date *
MM
/
DD
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YYYY
I agree that all the information completed on this application is complete, honest, and accurate.
Parent/Guardian 2 (Type first and last name)
Date
MM
/
DD
/
YYYY
Submit
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