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Youth Scholarship Request
I would like to request funds from Peace Lutheran Church to help pay for my child's program.
Your name
*
Last name
Email address
*
Child's Name
*
Program Attending
*
Kids Club
Confirmation
Camp
Other
Amount Requesting
*
min: 1 / max: 499
Parent(s)/Guardian(s) Name, Email, & Phone Number
*
By typing my name below, I am providing my electronic signature in place of a physical one.
*
Submit
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