Need help paying for camp this year?

Please register online www.ao-wa-kiya.org/register with the Deposit Amount for the appropriate week(s) of camp. All requests will need to be submitted by April 30th.

Please Note: Scholarship recipients are not eligible for the horsemanship craft activity.

Name

First Name

Last Name

Number of Campers you are Registering

Name of Campers you are Registering

Camp weeks attending

Amount available from your church, community foundation, lions club, rotary etc.

Amount you are willing to pledge in addition to the registration deposit amount. (Your pledged amount will be invoiced prior to camp)

We assume you would not seek assistance if it were not necessary.

Scholarship amounts may depend on donations received to our Levi Francis Scholarship Fund. Please consider your additional contribution amount carefully. Thank you for reaching out to us so that your camper can experience a week of camp.

Checkbox

I understand and agree to the conditions of this Scholarship request