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Work Entry
Request a Scholarship for Wildfire Middle School Camp
Student First Name
Student Last Name
Student's Birthdate
Student Grade (2024-25 school year)
5th Grade
6th Grade
7th Grade
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
Parent First Name
Parent Last Name
Parent Phone Number
Parent Email Address
Tell us a little about your story and the need for a scholarship
What amount would you be able to contribute monthly to your student's $395 ticket to Wildfire?
Does your student regularly attend Collide?
No
Yes
Does your student serve at LCBC?
No
Yes
Submit
Prayer