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Camp Casa Jr. Scholarship Application

Camp Casa Jr. Scholarship Application

Responses are confidential and we will never share them. Responses will only be used in the aggregate, which we may use in funding requests and marketing, allowing us to serve more potential students and families. If you have any questions about how data is used, please contact us at education@casamanana.org.

Contact Information

Student’s Name
Student's Name
First
Last
Parent Name
Parent Name
First
Last
Parent Address
Parent Address
City
State/Province
Zip/Postal
Country

Scholarship Information

Does your student qualify for free/reduced lunches or other assistance programs?
I attest that all responses are truthful and complete to the best of my knowledge.

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