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Work Entry
Request a Scholarship for Wildfire Middle School Camp
Student First Name
Student First Name is required.
Student Last Name
Student Last Name is required.
Student's Birthdate
Student's Birthdate is required.
Student Grade (2024-25 school year)
5th Grade
6th Grade
7th Grade
Student Grade (2024-25 school year) is required.
What Campus Does Your Student Attend?
Altoona
Clarks Summit
Coal Township
Columbia-Montour
Dickson City
East York
Ephrata
Hanover
Harleysville
Harrisburg
Hazleton
Lancaster City
Lebanon
Leesport
Manheim
Northern Dauphin
Online
Pottstown
Sinking Spring
Waynesboro
West Schuylkill
West Shore
West York
Wilkes-Barre
Willow Street
What Campus Does Your Student Attend? is required.
Parent First Name
Parent First Name is required.
Parent Last Name
Parent Last Name is required.
Parent Phone Number
Parent Phone Number is required.
Parent Email Address
Email address is not valid
Parent Email Address is required.
Tell us a little about your story and the need for a scholarship
Tell us a little about your story and the need for a scholarship is required.
What amount would you be able to contribute monthly to your student's $395 ticket to Wildfire?
What amount would you be able to contribute monthly to your student's $395 ticket to Wildfire? is required.
Does your student regularly attend Collide?
No
Yes
Does your student regularly attend Collide? is required.
Does your student serve at LCBC?
No
Yes
Does your student serve at LCBC? is required.
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Prayer