Parent Name*
Email*
Phone( ) -
Name(s) of child(ren) to attend camp*
Child(ren) current grade(s)*
Child(ren) gender(s)*
June 12-16
July 10-14
Pine Cove 1/2 Scholarship (parent pays half of $339)
Pine Cove $100 discount (parent pays $239)
We have a limited amount of scholarship funds available and would love to bless as many families as possible. Pine Cove also offers a simple payment plan to help make camp more affordable. If you are able to send your child with a $100 discount, please choose that option. Thank you!
I'm part of ACF's church community
I'm part of another church community
I don't have a church community
Not required for scholarship consideration
The reason I am requesting a scholarship is: