Scholarship Application Form

If you need financial support to attend camp this summer, there are still funds available and we encourage you to apply! This form should be filled out by a parent or guardian (call us if this is an issue).

Campers are expected to pay the camp’s registration deposit fee, but please notify us if that presents a barrier.

There are a limited amount of funds for distribution. Scholarships will be dispersed as long as funds remain for the season. Please apply only if you are truly in need in order to attend camp.

If you are applying for a scholarship, please let us know the level of support you need to afford Tier 3 pricing for the camp session you would like to attend.

All information is confidential. Please contact us for questions and assistance with this application.

Scholarship Application Form

Camper Name *

Parent/Guardian Name *

Email Address *

Phone Number *

The annual income of my household is

The number of people in my household is *

Camp Session

Other scholarships applied for (local church or organization):

Amount requested (or granted) from above:

I am requesting this amount in scholarship funds for aid in paying the camp fee

Please explain in a few sentences why you would like to attend Pilgrim Lodge

If you are human, leave this field blank.