Campership Form Scholarship Request Every child deserves a memorable summer camp experience. Camp Agape offers Scholarships on an as needed basis. Please fill out the form below and return to the office by email (campinfo@campagape.org)or mail to: Camp Agape, PO Box 115, Hickory, Pa. 15340. Camper Name * Parents Name Date of Birth Address Phone Email Sibling(s) Program(s) Desired to Attend Amount Requested Reason for Request Amount you can contribute Have you requested financial assistance from your church or other agencies? If so, please identify the source(s) Captcha If you are human, leave this field blank. Submit Δ
