Work Entry

Student First Name

Student Last Name

Which camp do you wish to attend? (Please use last grade completed)

Student Date of Birth

/ /

Parent First Name

Parent Last Name

Mobile Number

Does your family attend Emmanuel Church?

Yes No

If yes, which campus do you attend?

Please share why you would like to send your child to Camp.

Are there any special circumstances in your family that have resulted in your need for financial assistance (i.e. loss of a job, illness, etc.)?

What amount could you contribute to towards the cost of camp?

Thank you for completing the Camp Scholarship Application. We cannot guarantee the amount you are requesting but a Staff member will get back to you in the next two weeks to let you know how we can support your family

Camp Scholarship Request

Work Entry