ACA Camper Scholarship Program for Camps - American Camp Association

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ACA Camper Scholarship Program for Camps
Building Bridges of Understanding

"Be the change you want to see in the world."
— Maya Angelou

The camp experience has the unique ability to break down economic, racial, geographic, religious, ethnic and social barriers. Camp celebrates diversity and promotes understanding. And open-hearted children become open-minded adults.

To donate to one of ACA’s Camper Scholarship camps, please fill out the following form and indicate in the appropriate box the camp you have chosen to receive your donation.

Contact Information

First Name *
Last Name *
Company/Organization
Address *
City *
State *
Zip *
Phone *
E-mail *

Gift Contribution

I would like to support camp with a gift of:

$75

$150

$250

$500

$1000

$2500

$ Other dollar amount

Please indicate the camp name for this camper scholarship donation: *

This gift is from:

My company/organization

Other

I would like to make this a memorial gift:

in memory of

I would like to make this an honorary gift:

in honor of

	Address to send notifications for memorial or honorary gifts
	Name
	Address
	City
	State
	Zip

Payment Information

Total Amount $

Bill my * MasterCard VISA Discover

Credit Card Number *

Expiration Month *

Expiration Year * (yyyy)

Name on Credit Card*

ACA is a nonprofit organization; contributions to ACA are tax deductible to the extent allowed by law.

Gifts/Contributions

If you have questions regarding your gift contribution, please call any one of the following at 765-342-8456:

Jennifer Tumey,
ext. 501

Grechen Throop,
ext. 517

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