Scholarship Request | Cortland Bible Club Camp

Your First Name *

Your Last Name *

Email *

Email

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Household Income *

Number of Campers?

Select the Number of Campers you are requesting scholarships for.

Camper 1 Name *

First

Last

Camper 1 Age *

Week of Camp Camper 1

Mini Week (ages 6-8) June 30-July 2
Youth Week 1 July 7-12 (Ages 8-13)
Youth Week 2 July 14-19 (Ages 8-13)
Youth Week 3 July 21-26 (Ages 8-13)
Youth Week 4 July 28-August 2 (Ages 8-13)
Girls Outpost July 14-19 (Ages 10-14)
Boys Outpost July 21-26 (Ages 10-14)

Camper 2 Name *

First

Last

Camper 2 Age *

Week of Camp Camper 2

Mini Week (ages 6-8) June 30-July 2
Youth Week 1 July 7-12 (Ages 8-13)
Youth Week 2 July 14-19 (Ages 8-13)
Youth Week 3 July 21-26 (Ages 8-13)
Youth Week 4 July 28-August 2 (Ages 8-13)
Girls Outpost July 14-19 (Ages 10-14)
Boys Outpost July 21-26 (Ages 10-14)

Camper 3 Name *

First

Last

Camper 3 Age *

Week of Camp Camper 3

Mini Week (ages 6-8) June 30-July 2
Youth Week 1 July 7-12 (Ages 8-13)
Youth Week 2 July 14-19 (Ages 8-13)
Youth Week 3 July 21-26 (Ages 8-13)
Youth Week 4 July 28-August 2 (Ages 8-13)
Girls Outpost July 14-19 (Ages 10-14)
Boys Outpost July 21-26 (Ages 10-14)

Camper 4 Name *

First

Last

Camper 4 Age *

Week of Camp Camper 4

Mini Week (ages 6-8) June 30-July 2
Youth Week 1 July 7-12 (Ages 8-13)
Youth Week 2 July 14-19 (Ages 8-13)
Youth Week 3 July 21-26 (Ages 8-13)
Youth Week 4 July 28-August 2 (Ages 8-13)
Girls Outpost July 14-19 (Ages 10-14)
Boys Outpost July 21-26 (Ages 10-14)

Camper 5 Name *

First

Last

Camper 5 Age *

Week of Camp Camper 5

Mini Week (ages 6-8) June 30-July 2
Youth Week 1 July 7-12 (Ages 8-13)
Youth Week 2 July 14-19 (Ages 8-13)
Youth Week 3 July 21-26 (Ages 8-13)
Youth Week 4 July 28-August 2 (Ages 8-13)
Girls Outpost July 14-19 (Ages 10-14)
Boys Outpost July 21-26 (Ages 10-14)

I am looking for a scholarship in the amount of? *

The cost to attend one week of camp at Cortland Bible Camp in 2024 is $325.

What additional circumstances play a role in your need for scholarship?