Campership Application
Directions: Please submit one application per camper. You must officially register your camper online and pay the application fee, prior to this application being approved.
Have you completed online registration and paid the application fee for this camper? *Note: Online camp registration must be completed along with payment of the $15 application fee, prior to applying for Campership. Your application will be considered invalid if we do not receive your camper's registration first. Register at www.campfireoneida.org
*
Yes
No (Please exit out and register first!)
Yes, I recently mailed a check for payment
Camper's Name
*
First Name
Last Name
Camper's Birthday
*
-
Month
-
Day
Year
Date
Has this camper been to Camp Birchrock before?
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Yes
No
Your Name
*
First Name
Last Name
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Your Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
How would you like to be contacted regarding the status of your application?
*
Phone
Email
Are you a Camp Fire member?
*
Yes
No
We ask that families contribute to a portion of camp fees, how much can you contribute towards camp fees? Camp Fire Oneida typically will cover between 10%-50% of Day Camp fees and from 50%-75% of Resident Camp fees at Camp Birchrock. In special cases, a camper may be given up to 100% campership.
I can contribute 20% or less towards camp fees
I can contribute between 20%-40% towards camp fees
I can contribute between 40%- 50% towards camp fees
I can contribute between 50%-75% towards camp fees
I can contribute between 75%-90% towards camp fees
To be completed by Camper: Why do you want to come to Camp Birchrock this summer?(150 words or less *Statement may chosen to be shared with donors.)
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I understand that by accepting Campership funds, I am entering into a contractual agreement with Camp Fire Oneida and Camp Birchrock. Campership funds are distributed based on an agreement by the undersigned to pay a predetermined share of camp fees prior to the start of camp session. Nonpayment of Parent/Guardian’s share of these fees constitutes a breach of this agreement and entitles Camp Fire/Camp Birchrock the authority to seek compensation for any Campership funds applied to camp fees under this agreement in addition to of any outstanding fees owed by Parent/Guardian. Applications are reviewed in the order they are received and funds are dispersed on a first come first serve basis. I understand that I will be contacted at my chosen method within 2 weeks of my application with a determination.
*
I agree
I do not agree
Applicant's Signature
Clear
Submit
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