EmailMe Form - Financial Assistance / Scholarship Request

Which trip/event are you requesting financial assistance for? *

Indian Village Kids Camp

Vacation Bible School

Name(s) of your child/children registered for the event *

First Last

Parent's Name *

First Last

Other Parent's Name

First Last

Parent's Email *

Parent's Phone *

### - ### - ####

How long has CBC been your home church? *

Have you received a camp/trip scholarship in the past? When and how much? *

Have you received any other benevolence financial assistance through Capo Beach Church? *

Please explain your current situation which makes paying the full amount for your child’s camp a financial burden. *

How much can you contribute to your own child’s experience? *