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Family Reference Form
Home
Family Reference Form
Family Reference Form
Camper's Name
*
Camper's Name
First
First
Last
Last
How long have you known the applicant?
*
What is your relationship to the applicant?
*
i.e. coach, teacher, etc.
Describe the financial need of the camper's family.
*
Do you have any concerns about this family's ability to pay the $50 deposit fee?
*
Yes
No
If yes, please explain.
*
Please share any other information that may be pertinent related to this camper receiving a scholarship to attend Camp Pinnacle.
*
Reference Name
*
Reference Name
First
First
Last
Last
Reference Email
*
Reference Home Phone
*
Reference Cell Phone
*
Reference Signature
*
signature
keyboard
Clear
Date
*
If you are human, leave this field blank.
Submit
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