Mesa County FCA

2025 FCA Sports Camp Scholarship Form

Camper First Name

Camper Last Name

Camper Email

Camper Phone Number

Parent/Guardian First and Last Name

Parent/Guardian Phone Number

Parent/Guardian Email

Street Address

City

State

Zip Code

Which Camp Are You Planning On Attending?

What is the name of your school and what grade are you going in to?

What amount of scholarship amount do you need to attend camp (full, half, a small amount, etc.)? Please feel free to give an explanation.

Have you attended FCA Camp before?

Are you actively involved in an FCA Huddle? Please tell us which huddle you are involved in.

Is your son/daughter willing to serve/volunteer at an FCA sponsored event/work project to help earn funds if appropriate?

Do you have transportation to camp?

Any other information you would like for us to know?