Summer Camp Financial Assistance Application

WEST SIDE SUMMER CAMP

FINANCIAL ASSISTANCE APPLICATION
Financial assistance for Summer Camp 2025 is not yet open. Please come back after December 1 and apply for assistance once registration is open.
Date

MonthDayYear
Date
We never want financial difficulties to be the reason a child or student can't attend an event. If your family needs some financial assistance, please:
1. Complete the form below.
2. Register for camp via our website.
Camper Information
Camper 1 Name

First NameLast Name
Camper 2 Name (if applicable)

First NameLast Name
Camper 3 Name (if applicable)

First NameLast Name
Camper 4 Name (if applicable)

First NameLast Name
Camper 5 Name (if applicable)

First NameLast Name
Camper 6 Name (if applicable)

First NameLast Name
Camper 7 Name (if applicable)

First NameLast Name
Camper 8 Name (if applicable)

First Name 8Last Name 8
Camper 9 Name (if applicable)

First NameLast Name
Please Select Camp for Each Camper
Camper 1

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Camper 2

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Camper 3

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Camper 4

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Camper 5

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Camper 6

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Camper 7

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Camper 8

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Camper 9

Family Camp (3yr-2nd grade & family) - $35 per person2nd- 3rd Grade Camp (going into 2- 3rd) - $1454th-5th Grade Camp (going into 4-5th) - $220JHM Camp (going into 6-8th) - $360HSM MOVE Camp (going into 9th-12th) - $499Grad Trip (graduating HS) - $499
Total Cost of Camps
How much can you can you pay towards camper 1?
How much can you can you pay towards camper 2?
How much can you can you pay towards camper 3?
How much can you can you pay towards camper 4?
How much can you can you pay towards camper 5?
How much can you can you pay towards camper 6?
How much can you can you pay towards camper 7?
How much can you can you pay towards camper 8?
How much can you can you pay towards camper 9?
Total you can pay:
Total Assistance Needed
Parent Information (To be completed by parent or guardian)
Parent/Guardian Full Name*

First NameLast Name
E-mail*
Cell Phone #
We typically ask the student or a family member to volunteer at the church to help cover the scholarship. Someone from our team will contact you about setting up a time to come serve.
List any special circumstances that affect your ability to pay for this event.*
I acknowledge the submission of this application for the financial assistance for this event and affirm the accuracy of the information provided in the parent information section.
Parent/Guardian Signature*

Clear
Should be Empty:

WEST SIDE SUMMER CAMP

Camper Information

Please Select Camp for Each Camper

Parent Information (To be completed by parent or guardian)