JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Middle School Leadership Camp
August 1-3rd
Cold Springs Church, Placerville
Mother Lode River Center
This 3-day, program includes:
-Workshops
-Skill development
-Team building
-Low ropes course (Mother Lode River Center)
-3 lunches
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name:
*
Your answer
School attending this fall:
*
Your answer
Grade:
*
6th
7th
8th
How will you use what you learn at Leadership Camp to benefit Hands4Hope, your school, and/or your community?
*
Your answer
Phone Number:
*
(best to reach you)
Your answer
Email:
*
Your answer
I am applying for:
*
a partial scholarship ($180, you pay $90)
full scholarship ($180, you pay $0)
other ($180, you pay what you can afford )
If you selected other how much can you contribute?
Your answer
I (this information is confidential)
*
will not be able to attend without financial assistance.
do not require financial assistance to attend.
Anything else you think we should know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of hands4hopeyouth.org.
Report Abuse
Forms