Work Entry

Request a Scholarship for Wildfire Middle School Camp

Student First Name

Student Last Name

Student's Birthdate

Student Grade (2023-24 school year)

What Campus Does Your Student Attend?

Parent First Name

Parent Last Name

Parent Phone Number

Parent Email Address

Reason for Scholarship Request

What amount will you be able to contribute to your student's $395 ticket to Wildfire?

Does your student regularly attend Collide?

Does your student serve at LCBC?

Submit