G R E E N L A K E C O N F E R E N C E C E N T E R
Jamie Robbins (Youth) Scholarship Application
Name
Address
Address Con't
City
State
Zip Code
Home Phone
E-Mail Address
Tell Us Your Age
Church Name
Church Address
Church Address Con't
Church City
Church State
Church Zip Code
Church Phone
Confirmation #
(n/a for Quest or Winter Blast)
What conference are you attending?
What are the conference dates?
Lodging
(n/a for Quest or Winter Blast)
Youth Leader Name
(if applicable)
Youth Leader Phone
(if applicable)
W2511 State Road 23 Green Lake, WI 54941
(920) 294-3323
Green Lake Conference Center
Founded by American Baptists in 1943
