Presbyterian Mo-Ranch Assembly Youth Camp

Attendee Scholarship Application

For a camper scholarship to be considered complete, the following information must be on file:

New Camper and returning camper application(s), forms and documents must be completed under the parent portal in CampMinder.
The full deposit for the specific camp session, $100 for Summer Camp and $40 for Day Camp, must be paid before the scholarship will be processed for review.
All sections in the scholarship application below must be completed and you will receive a confirmation email from the camp registrar confirming completion of the application.

If you have any questions you can contact Nicole Conner Summer Camp Registrar at 1-800-460-4401 ext. 234 or naconner@moranch.com.

Application Date:*
MM slash DD slash YYYY

Scholarship application deadline is April 15.
I am applying on behalf of:*
Birthday*
MM slash DD slash YYYY
Grade level for the next school year*
Has your child received a scholarship previously?*
I am applying for a scholarship to attend:*
I would like my child to attend:*
Preferred Session Date*
Secondary preferred session date*
Marial status?*
How many people are living in the current household?*
Please enter a number greater than or equal to 1.
Place(s) of employment for parent(s)/guardian(s)?*
Parent/Guardian Name:*
First Last
Address:*
Street Address Address Line 2 City State ZIP Code
Phone:*
Alternate Phone:
Email:*
What is your communication preference?*
Home Church:
Home Church City:
Amount of scholarship requested:*
Total cost of camp:*
Are you requesting funds from other sources such as home church, Presbytery, PC(USA), Synod?*
- No
- Yes
If yes, how much?
Please explain why the scholarship is needed and how the summer camp will benefit you:*
How did you hear about Mo-Ranch?*
Name*

By typing your name, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
Email*
Acknowledgment*
By providing my legal name, email address, and electronic signature above, I confirm that I have read, or had read to me, and understand the above and acknowledge and accept the above.
- Confirm