Summer Camp Scholarship Application Form

We never want finances to be the reason a child is not able to attend a Piercing Word Summer camp. We are thankful that we are able to offer some scholarships to those students that otherwise would not be able to attend and are so grateful for the partnership of individuals and churches that have given to make this happen. We would love to get some more information about your current financial situation so that we can see how we can best serve you.

*Have you filled out the registration form yet? This will need to be completed first.*

First Name

Last Name

Phone

Address 1

Address 2

City

State

Zip

How many Children are in your household?

How many would you like to attend camp?

Student(s) name:

Is either parent/ guardian a full time student?

Yes
No

Is either parent/ guardian in full time ministry?

Yes
No

Do both parents/ guardians work?

Yes
No

Financial assistance requested?

Full Scholarship
Partial Scholarship
Payment Plan

Why do you want your child to attend Piercing Word Summer Camp?

In addition to this form, please provide your most recent federal tax return statement. Please send your Federal Tax Return to 1821 Oregon Pike Suite 210, Lancaster, PA 17601. YOUR APPLICATION WILL ONLY BE CONSIDERED ONCE WE HAVE RECEIVED BOTH THIS REGISTRATION FORM AND YOUR FEDERAL TAX RETURN. Thank you!

Filling out this form does not guarantee a scholarship for your child. We would love to provide assistance to everyone that applies, however we want to be good stewards of what the Lord has given us. We will review your submission before getting back to you with how we can help.

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Summer Camp Scholarship Application Form