VBS Scholarship Application

Camper Information

Camper #1 Name (First & Last)

Birthdate

Camper #2 Name (First & Last)

Birthdate

Camper #3 Name (First & Last)

Birthdate

Parent Information

Parent/Guardian Name (First & Last)

This address will receive a confirmation email

Phone

What amount are you able to pay?

$20 per child $15 per child $10 per child $5 per child

Please tell us a little bit about why you are in need of a scholarship:

Description

If you are in need of a partial or full scholarship for VBS, please apply below.