Scholarship Application – WinShape Camps

WinShape Camps
Olive Branch, MS

• Fill out ONE form per family, giving as much detail as possible.

• All information will be kept secure and confidential.

• Application ONLY – Does not guarantee a Scholarship.

This application is ONLY for the WinShape Camp for Communities located in Olive Branch, MS

Parent(s)/Guardian(s) Name(s)Parent/Guardian

Camper #1 Name

Camper #3 Name

Camper #5 Name

Address - Number and Street

Phone

Please list other children ATTENDING camp.

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Does your family attend church?

YesNo

SCHOLARSHIP LEVELS

Full Scholarship NoteWe ask for a $20 fee to be paid for every camper with a full scholarship. This allows us to give more scholarships to more children. Please check below to let us know you have read this statement and understand that each full scholarshipped camper will owe $20 during online registration.

I understand the $20 fee.

FINANCIAL ASSISTANCE

Why do you want your child to attend WinShape?

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PARENT/GUARDIAN SIGNATURE

Parent/Guardian E-Signature