Camper Name

Parent/Guardian Name(s)

Parent/Guardian Email

Home Church

Have you ever applied for Camp Fontanelle scholarships in the past?
—Please choose an option—NoYes

Give a description of your current financial situation or special circumstances that inhibit you from making pay

How much scholarship support do you need?
—Please choose an option—25%50%75%100%Other

If you selected "Other" above, please describe your need

Please note that scholarship funds will be allocated based on availability and need. All financial aid requests and information are kept confidential.

By submitting this form, you declare that all information submitted is complete and correct to the best of your knowledge.