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WI-NE-MA CHRISTIAN CAMP
Home
About
Mission & Vision
Camp Contacts
Meet the Team
History
Water Service
Get Involved
Mailing List
Volunteer
Work Parties
Employment
Youth Camps
Youth Camps
SUMMER LEADERSHIP TRAINING
FAQs
A Day At Camp
Conferences
Conference Info
Explorers' Conference
Hispanic Family Camp
Week of Missions
Family Camp
Septemberfest
Retreats
Guest Groups
Retreat Houses
RV & Camping
Give
Donate
Auction Fundraiser
Development
Calendar
Camp Scholarship Application
*
Indicates required field
Parent/Guardian Name
*
First
Last
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Number of People in Household
*
Church Home (if applicable)
*
Number of Dependent Children
*
Number of Children in Household Attending Camp
*
Camper Information
Camper 1 Name
*
First
Last
Date of Birth
*
Camp Session
*
Select One
First Chance Camp
Second Junior Camp
Third Junior Camp
First Middle School Camp
Second Middle School Camp
First High School Camp
Second High School Camp
First Time at Wi-Ne-Ma Christian Camp?
*
Yes
No
Camper 2 Name
*
First
Last
Date of Birth
*
Camp Session
*
Select One
First Chance Camp
Second Junior Camp
Third Junior Camp
First Middle School Camp
Second Middle School Camp
First High School Camp
Second High School Camp
First Time at Wi-Ne-Ma Christian Camp?
*
Yes
No
Camper 3 Name
*
First
Last
Date of Birth
*
Camp Session
*
Select One
First Chance Camp
Second Junior Camp
Third Junior Camp
First Middle School Camp
Second Middle School Camp
First High School Camp
Second High School Camp
FIRST TIME AT WI-NE-MA CHRISTIAN CAMP?
*
Yes
No
Circumstances
Have you applied for assistance from other sources?
*
Yes
No
Special CIrcumstances
*
Single Parent Household
Recent Job Loss
Uninsured Medical Expenses
A Child Diagnosed with Special Needs in the Home
Other Circumstances
*
Finanacial Information
Household Gross Annual Income
*
Total Amount Requested
*
I verify that all information on this form is true and correct to the best of my knowledge.
Parent/Guardian Electronic Signature
*
Date
*
Submit
Home
About
Mission & Vision
Camp Contacts
Meet the Team
History
Water Service
Get Involved
Mailing List
Volunteer
Work Parties
Employment
Youth Camps
Youth Camps
SUMMER LEADERSHIP TRAINING
FAQs
A Day At Camp
Conferences
Conference Info
Explorers' Conference
Hispanic Family Camp
Week of Missions
Family Camp
Septemberfest
Retreats
Guest Groups
Retreat Houses
RV & Camping
Give
Donate
Auction Fundraiser
Development
Calendar