Scholarship Recipient Form Recipient's Name * First Name Last Name Contact Email * Contact Phone * (###) ### #### What weeks of camp are you interested in? (First Choice) * July 5th Mike Mal July 12 Gene Mills July 19 Kendall Cross July 26 Emma Randall August 2nd Jason Welch What weeks of camp are you interested in? (Second Choice) * July 5th Mike Mal July 12 Gene Mills July 19 Kendall Cross July 26 Emma Randall August 2nd Jason Welch What weeks of camp are you interested in? (Third Choice) * July 5th Mike Mal July 12 Gene Mills July 19 Kendall Cross July 26 Emma Randall August 2nd Jason Welch Do you need transportation to camp? * Yes No Can you provide transportation to camp? * If you do not need transportation would you be willing to provide ride share? Yes No Thank you!
