Camp Scholarship Application

Please fill out this form to request assistance with camp registration.

If you are requesting a scholarship for more than one child, please complete one form per child.

Your name *

Email address *

Parent/Guardian Contact Information

Phone number *

Address *

Camper's Information

Household members

Please add information for the child camper you are applying for assistance.

First Name *

Last Name *

Age *

Camp / Registration Information

Camp Attending *

Has the child attended camp with the church before? *

Have you already registered your child for camp? *

Amount of assistance you are requesting *

Reason scholarship is needed: *

I certify that the information contained in this application is accurate and true. *

Acknowledgement *

Scholarships will only be awarded to those who financially qualify. We cannot guarantee that everyone who applies will receive a scholarship. The Benevolence Team has been given specific qualifications based on the policy and from specific donors on how to choose those who should receive financial assistance.

Contact the Benevolence Team via email at benevolence@cincinnatichurch.org - applications must be received by the posted deadline, check the website. You will be notified of the scholarship decision within two weeks.

Electronic Signature *

Parent's First and Last Name

Date *

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