River Foursquare Church - Scholarship Application

Scholarship Request Form

Please use this form to let us know if you need financial support to attend camp this year.

First Name

Last Name

Email

Phone Number

Birthdate

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Gender

Please select all that apply to your need:

I need a full scholarship of $195 to be able to attend.

I need help with transportation costs to attend.

I only need a partial scholarship.

Amount of Scholarship Requested.

Anything else you'd like us to know?