Sky Ranch Campership Request Form

Please fill out the following form to request funds from Zion Lutheran Church to help your child attend Sky Ranch. Request Forms Due with deposit by March 4, 2022.

Name(s) of Youth Attending Camp*
Use the (+) to add additional names.
First Name Last Name
Parent/Guardian Name*
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Cell Phone*
Program Fees
Enter the number of youth you are registering for each program, below.
Youth Go! Quantity
2 week High School Leadership Training (9th-12th grade) - June 12-17
Price: $550.00
High School- Staff in Training Quantity
June 26-July 1
Price: $225.00
Confirmation Quantity
(6th-8th grade) June 19-24
Price: $470.00
All Ages: Lower Elementary Quantity
July 31st-August 5th
Price: $230.00
All Ages: Upper Elementary Quantity
July 31st-August 5th
Price: $455.00
Initial Zion Lutheran Church Support
$50 per child
Price: $0.00
Deposit Owed*
$50 for Lower Elementary or $100 for all others
Price: $0.00
Total Remaining Balance
$0.00
Requested Campership
Of the total remaining balance owed for camp, what amount do you feel your family can contribute?*
Of the total remaining balance, what amount are you requesting Zion to pay?*
Please share any relevant information to help us understand your needs:*
Comments
This field is for validation purposes and should be left unchanged.

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Sky Ranch Campership Request Form

Program Fees

Requested Campership

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Zion Lutheran Church

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First Name	Last Name