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Camp Scholarship Form
Camper Name
Address
Email
Phone
School
Grade
Message
Parent/ Legal Guardian Phone
Parent/Legal Guardian Email
Scholarship amount needed to attend camp
Household gross Income for the year
$35,000-$45,000
$45,000-$65,000
$65,000-$85,000
Higher than $8,000
Do you have an FCA at your school? If so, how involved are you in that FCA?
Additional Comments
What camp are you requesting a scholarship for?
Southern Indiana Leadership Camp
Southeast Indiana Athletics Camp
Southeast Indiana Power Camp
Signature (Type name for signature)
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Home
Who We Are
Our Team
Blogs
Employment Opportunities
Camp
Power Camp 2024
Athletics Camp 2024
Leadership Camp
Camp Scholarship Form
Events
Fields of Faith
Every Fest
Pickleball Night
Contact
Text Response Tool
Scouting Report
Scouting Report Terms
Liability Waiver
Donate
Huddles
FCA Sports
Contact Info
Southeast FCA
11515 US-31
Sellersburg, IN 47172
Tyler Pavey - Area Director
(502)777-2471
tpavey@fca.org
Kailey Pavey - Admin
kpavey@fca.org
Bob Shaw - Area Rep
bshaw@fca.org
TJ Miguel - Area Rep
tjmiguel@fca.org
Madeline Bates - Area Rep
mbaird@fca.org
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