Camp Scholarship Application

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RIVER VALLEY CHURCH

CAMP SCHOLARSHIP REQUEST FORM Please select one: m Kid’s Camp (June 24-27)

m Youth Camp (July 15-19)

Scholarship Request Policies: Please note that all scholarships are meant to assist in crisis, emergency and financial difficulties. It is a privilege to receive a scholarship—not all requests will be granted. Scholarships are intended to help cover part of the cost of registration only. (Scholarships will not cover any extra fees such as late fees, t-shirts, etc.) Deadlines for submission are as follows: Kid’s Camp = May 10th; Youth Camp = June 17th.

Submit completed form and any questions to go@rivervalley.org or youth@rivervalley.org

Using the space below, please prepare a personal essay that states why your family needs a scholarship. Please include the area(s) of church you are involved in and mention if you have received a scholarship before. _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________

CAMPER’S INFORMATION Name: ________________________________________

Campus: ________________________

Address: ______________________________________

E-mail: ___________________________________

Phone: ________________________________________

Grade (in fall): __________

Page 2 of 2 Camper’s Relationship to River Valley Church: Current Membership: Member _____ Attendee (1+ years) _____ Visitor _____ How long have you attended River Valley Church? ______________________________________________ Do you normally attend River Valley Church? ___________________________________________________ In what areas of the church do you serve? ______________________________________________________

FAMILY INFORMATION: Parent(s) Name: ______________________________________________________________________________ Home Address: ______________________________________________________________________________ Campus: ___________________________ Phone: __________________________________________________ E-mail: ______________________________________________________________________________________

Family’s Relationship to River Valley Church: Current Membership Status (select one):

Member ____

Attendee (1+ years) ____ Visitor ____

How long have you attended River Valley Church? _______________________________________________ Do you normally attend River Valley Church? ____________________________________________________ In what areas of the church do you currently serve? ______________________________________________

Scholarship Eligibility: We offer discounts depending upon a family’s circumstances and following evaluation from our leadership team, including Go Kids / YTH Pastors.

FOR OFFICE USE ONLY: Submission Date: Approval Date: Awarded Amount: ________ Account Number: Processed By: