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Redemption Kids' Camp Scholarship Request
We don't want a lack of funds to keep you from participating in an event. Please complete the following application, as this will help us determine your need and allow us to be good stewards of our limited financial resources.
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* Indicates required question
Email
*
Your email
All information is confidential, we will make every effort to help you!
**Please note: We must have an application form for each child in your household.**
Student's Full Name
*
Your answer
Parent(s)/Guardian(s) Name
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
City, State, Zip:
*
Your answer
School:
Your answer
Grade (completed):
*
Choose
K5 (Kindergarten)
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Age:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Are you a member of a church?
*
Yes
No
Other:
Where?
Your answer
How much can you contribute to the cost of camp (including the deposit)?
*
$0
$25
$50 (The deposit to register only)
$75
$100
$110
$120
$130
$140
Other:
Does your child have any special needs and/or allergies that we should be aware of?
*
Yes
No
If yes, what are the special needs and/or allergies we should know about?
Your answer
Briefly share with us the circumstances that necessitate a scholarship:
*
Your answer
Click "submit" to complete this form. Someone will be in contact with you in the next few weeks to follow up. If you have questions you can call the church office at (251)679-3266. We look forward to your child joining us this summer!
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