Sponsored by:

Sportswomen of Colorado
Girls Camp Scholarship Program
APPLICATION/NOMINATION FORM
Submit form before APRIL 15, 2010

Student
Name
Age
Grade
Parent's
Name (required)
Home
Phone
Work
Phone
Parent's
E-mail (required)
Home Address
Street
City
State
Zip

School
Race/
Ethnicity
(optional)
Type of sport camp you would like to attend:
1)
2)
3)
Using the space below please state why you should be considered for this award.
School Representative or Organization
Name
Work Phone
Home Phone
E-mail



If you need more information, please email:
Annie Hoskinson
Summer Camp Coordinator
at camps@sportswomenofcolorado.org