Scholarship Application - Camp Gideon

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Gideon 300
LadiesTea

Camps
Booking Info
About
- Contact Us
Give
- Donate
- Sponsor a Camper
volunteer
Store
Scholarships
Apply
- Summer Staff
- Internships
CAMPaign
Gideon 300
LadiesTea

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YOUR CART

Scholarship Application

Child's Info

* Indicates required field

Child's Name *

First

Last

Child's Age *

Child's gender *

Male Female

Has he/she attended camp with us before? *

Yes No

For which camp are you requesting a scholarship? *

IMPACT Weekend Princess Camp IMPACT Camp Discovery Day Camp D24 Camp Knights Camp

Is he/she already registered? *

Yes No

Parent/Guardian Info

Your Name *

Relationship to child *

Your Email *

Your Phone Number *

Household Info

Marital status *

Single Married Divorced Separated Widowed

Adults in household *

1 2 3 4+

Children in household *

1 2 3 4+

Incarcerated Parent *

Yes No

If yes, name of Incarcerated Parent and Prison location? *

Total yearly household income *

Do you currently qualify for government assistance such as SNAP, medicaid, food stamps, medicaid, etc.? *

Yes No

Please explain your reason for your financial aid request, with emphasis on your recent or current hardship(s). *

How do you feel that a week/weekend at camp will benefit your child? *

Assistance amount requested? *

Scholarship funds are limited. We will let you know via email what assistance we can provide. Please let us know if you are seeking full, partial, or half assistance.

Electronic Signature

Please "sign" this form by agreeing to the statement below and typing your full name in the space provided.

Choose Any *

The information I have provided is honest and accurate.

Electronic Signature *

Date *

Submit

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