Page 1 of 2
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: