Scholarship Request

Cedar Lake Camp & Retreat Center

Please fill out the form completely.

 
For questions or more info: 931-823-5656 or clcstaff@cedarlakecamp.org.

Scholarship Request Form 2022

"*" indicates required fields

Address:*
Contact Name:*

CHILD ONE:

Gender:*
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CHILD TWO:

Gender:
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CHILD THREE:

Gender:
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CHILD FOUR:

Gender:
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CHILD FIVE:

Gender:
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CHILD SIX:

Gender:
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Payment plan needed for balance after scholarship?*
This field is for validation purposes and should be left unchanged.