Guest Registration for Scholarship Program - Scholarship Fund

Code	Activity	Ages	Grades	Days	Dates/Times	Location	Fees
	Scholarship Fund	N/A	N/A		01/08/2021 - 12/31/2025		$5.00 Res, $5.00 Non-Res

Participant Information

*First Name	*Last Name
		I am a Resident of Berwick I am not a Resident of Berwick

Birth Date	Grade	Gender
(mm/dd/yyyy)