Campership Request Form

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- As a standard policy, we do not cover the entire cost of an event for anyone. A minimum fee must be paid: $100 for overnight camp, $50 for day camp, $25 for a retreat.
- Your payment must arrive with this form. If we are unable to grant assistance, your deposit will be refunded. Refunds are not granted under any other circumstances.
- Each child is eligible for assistance for one week per summer and one retreat during the year.
- Financial aid funds will be applied directly to the camper's account.
- Please include a specific explanation of your financial need in this form. Failure to provide explanation will delay processing of your request. We may contact your church.
- Financial aid funds are limited and are available on a first come, first served basis. We reserve the right to make decisions about distribution of funds. We may not be able to grant your full request.
- The amount of financial aid granted will be based on our available funds, your financial need, and your ability to satisfy the criteria of the guidelines.
Parent Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email
Church Name
First Last
Church Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Pastor Name
First Last
Camper Name*
First Last
Camp event camper is attending
List any additional children and their camp events
Cost of the event
Amount you can give toward the event
Please explain the reason for your request:
Checklist: All items should be completed by June 1st for summer camp. No applications will be accepted after midnight Wednesday of the week prior to your child's camp. The application deadline for retreats is 1 week prior to the event. Please submit all of the following at the same time:
- Campership Application
- Your portion of the payment
- Your camper's registration form