To be considered for a scholarship, please note the following:

  1. Complete one scholarship request form for each family 
  2. Do not register prior to approval, refund will not be given.
  3. We will contact you regarding your scholarship status within 2 weeks of receiving your request.
  4. Although we want to make Breakaway available to every child, we don’t have sufficient funds to grant all scholarship requests. Thank you for your understanding.
Child(ren)’s Information
If you're filling out a form for multiple children, please write one per line
Parent/Adult Requestor
Adult First and Last Name *
Adult First and Last Name
Address *
Address
Home Phone *
Home Phone
Cell Phone
Cell Phone
Which Bayside campus do you attend? *
Have you attended any church in the last 12 months? *
Are you currently a volunteer at Bayside? *
Are you planning to volunteer at Breakaway Camp(s)? *
If so, which Session(s):
What session are you requesting a scholarship for? *
Additional Information
Have these children received scholarships for Breakaway in the past? *
Cost information
In order to keep costs down and Scholarship as many campers as we can, we do ask families to contribute to camp costs.
I can pay $__________ per child/per camp
$
Feel free to explain anything you wish.