Scholarship Request | cgnkauai.com

Is your child registered for camp? *

Primary Contact *

Relationship to camper *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Phone *

Email Address *

Marital Status *

Number of dependents in household *

Reason why you are requesting financial assistance *

Please explain your situation *

Why do you want to send your child to Camp Good News Kauai? *

Has your child received financial assistance from Camp Good News Kauai before? *

What years? *

Please name the local church you attend or write none *

Have you asked your church or local civic organization to help you cover the cost of camp for this year? *

The camp fee is $275 per camper. How much of this fee do you need assistance in covering? *

What non-monetary way might you be able to contribute to camp this year? *

Camper Name *

Gender *

Date of Birth *

Month

Day

Year

Comments

By filling out this application I agree to a follow up by a local church