Camp Scholarship Application

Name of Parent(Required)
Address(Required)
II. Scholarship Background Information
Camper's Name(Required)
Kids Kingdom Camp (3rd-5th grade): July 21-24 - camp cost $265.00; Pre-Teen Camp (6th-8th grade): July 21-26 - camp cost $410.00; Teen Camp (9th-12th grade): June 24-30 - camp cost $445.00
Electronic signature - Full Name
MM slash DD slash YYYY