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Please remember to register your child(ren) for camp. We can't process this request until we have a registration. When you're done with this form you'll have the option to go to the registration form online.

If you haven't done so and you're not sure you qulify to receive assistance from us, check out the guidelines

Name of Camper *

Session attending *

First time at Bethany Birches Camp? *

Parent(s)/Contact(s) Name(s) *

Date *

Phone *

Email *

Number of people in household *

Last Calendar Year Income (Include all sources of revenue from all people in household) *

Why requesting scholarship? *

Do you have a church or other group that could help cover some of the cost? *

Does this child receive free or reduced-price lunches at school? *

If so, please provide proof.


Did you receive aid from Bethany Birches Camp last year? *

Did you receive aid from any other organization or person last year? *

If yes, who was that organization/person?

Is the child you're requesting aid for a foster child? *

How many weeks will your child(ren) be attending camp this summer? *

How many children that are dependants of yours are you sending to Bethany Birches Camp this summer? *

We typically do not grant scholarship money for more than one session per child.