Camp Casa Jr. Scholarship Application

Camp Casa Jr. Scholarship Application

Contact Information

Student’s Name
Student's Name
First
Last
Parent Name
Parent Name
First
Last
Parent Address
Parent Address
City
State/Province
Zip/Postal
Country

Scholarship Information

Does your student attend a school that offers free/reduced lunches or other assistance programs?
Does your student qualify for free/reduced lunches or other assistance programs?

Maximum file size: 134.22MB

I attest that all responses are truthful and complete to the best of my knowledge.

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