2013 PUMA Scholarship Request Form

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2013 PUMA (Peninsula United Methodist Association)

Scholarship Request Form Name of Camp you will be attending: Children and youth in the Peninsula area (San Mateo County) designated churches desiring assistance in financing their participation in camps or youth events or special events sponsored by the California Nevada Annual Conference of the United Methodist Church may apply for scholarships at up to 20% of the cost you pay for camp or event. The scholarships are for youth and children within the care of our Peninsula area congregations. These funds are limited! These scholarships will be awarded on a first come, first served basis as long as funds are available, so apply early! To see if your church is in the Peninsula area, please check with your Pastor or contact Shari at the phone number below.

Camper Name Camper Address City

State

Phone (

)

Zip

E-Mail

To be filled out by Local Church Pastor: PLEASE PRINT Local Church

Date

Church Address City Phone (

State )

Zip

E-Mail

Signature of Pastor or Youth Director Signature of Parent/Guardian

(MUST FILL THIS PART OUT) Tier price you are paying for camp: $

Parent Contribution

**Return this form to Camp Registrar:

$

SHARI SANDOVAL CA-NV ANNUAL CONFERENCE PO BOX 980250 WEST SACRAMENTO, CA 95798-0250

For more information, call Shari Sandoval at 916-374-1528. Please duplicate this form as needed.