Koinonia Camp & Conference Center
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Parent's Name
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Camper's Name
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Desired Camp Session
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Mailing Address
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Parent's Phone Number
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Name of Church (if applicable)
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We are looking for scholarship money for summer camp in the amount of (please check all that apply):
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Full Session Cost
Partial Session Cost, in the amount of:
I have checked with my church and they will contribute to the above campers session fees in the amount of:
I have checked with other support sources and they will contribute to the above campers session fees in the amount of:
Amount of partial session cost to be contributed by parent:
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Amount of session cost to be contributed by home church:
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Amount of session cost to be contributed by other support sources:
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Parent or Guardians Electronic Signature
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Date Signed
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Apply for Scholarship
Home
Summer Camp Sessions
Retreats & One Day Events
Gallery
Newsletter
Forms
Camper Scholarship Form
One Day Event Form
Weekend Retreat Registration Form
Volunteer Staff Application
Equine Program Forms
>
Equine Release Form
Contact Us
Join In!
Give Your Time
Give Your Talents
Give Your Treasures
Donate
Camp Store
Ministry Partners
Benevolent Businesses
Partnering Ministries
About Us
Duck Race & BBQ Auction Fundraiser
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