NLBC 2023 Summer Camp Sponsorship Application

Camper Sponsorship Application

Please submit one application for each camper.
We recognize that paying for camp can be difficult for some. As such, Ness Lake Bible Camp is committed to doing our part to lessen the barriers created by income. Each year many individuals, churches, and businesses donate generously to make it possible for every child to have one of the best weeks of their lives. If you are having trouble finding the means to send your kid to camp, let us know. There's a good chance we can help!
Applicant's Info:

Adult parent or caregiver
Applicant's Name *

First Name Last Name
Relationship to camper:*
i.e. Mother, Father, Caseworker
Applicant's email*
example@example.com
Applicant's Phone Number*
Please enter a valid phone number.
Camper's Info:
Camper's Name*

First Name Last Name
Camper's Date of Birth*

MonthDay Year
Date
Camp Information
Please select the camp session you wish to attend:*

Spring Break day camp March 13-17 (day camp)Squirt 1 - July 7-9, 2023 (overnight camp)Junior 1 - July 10-14, 2023 (overnight camp)Intermediate 1 - July 16-21, 2023 (overnight camp)Teen - July 23-28, 2023 (overnight camp)Junior 2 - July 30- Aug 3, 2023 (overnight camp)Junior 3 - Aug 9-12, 2023 (overnight camp)Junior-mediate - Aug 12-18, 2023 (overnight camp)Intermediate 2 - Aug 20-25, 2023 (overnight camp)Junior 4 - Aug 27-30, 2023 (overnight camp)WilderNess 1 Overload - July 10-14, 2023WilderNess 2 Teen Trek - July 16-21, 2023WilderNess 3 Boys Adrenaline - July 23-28, 2023WilderNess 4 Overload - July 30-Aug 3, 2023WilderNess 5 Boys Adrenaline - Aug 9-12, 2023WilderNess 6 Trek - Aug 13-18, 2023WilderNess 7 Teen Adrenaline - Aug 20-25, 2023Squirt 1 - July 8, 2023 (day camp)Junior 1 - July 11-13, 2023 (day camp)Intermediate 1 - July 17-21, 2023 (day camp)Teen - July 24-28, 2023 (day camp)Junior 2 - July 31-Aug2, 2023 (day camp)Junior 3 - Aug 10-11, 2023 (day camp)Junior-mediate - Aug 14-18, 2023 (day camp)Intermediate 2 - Aug 21-25, 2023 (day camp)Junior 4 - Aug 28-29, 2023 (day camp)
Financial Information

Please provide the following financial information to assist us in processing your application.
Source of Income:*

Full-time employmentPart-time empolymentDisabilityIncome assistanceOther
What is your annual household income?

under $20,000$20,000 - $29,999$30,000 - $34,999$35,000 - $39,999greater than $40,000
Financial Context*
We don't mean to pry, but we know that numbers do not capture the full picture. Please provide us with some background as to why you are making this application.
If Sponsored, who and how much can they contribute?
We require applicants to partner with us to make our funding reach as many campers as possible. Please indicate other avenues for funding that you have pursued, and how much they are able to contribute, if any. For help finding additional funding, we would be happy to refer you to a church near you.
References

It would be great if you could include 2 reference names and phone numbers. Thank you!
Reference #1

First Name Last Name
Phone Number
Please enter a valid phone number.
Reference #2

First Name Last Name
Phone Number
Please enter a valid phone number.
Funding Request

NLBC requires applicants to contribute a minimum of $100 as a deposit for each camper during summer camp.
In addition to your $100 deposit, how much (if anything) are you able to further contribute? $100 + blank ?
Please indicate whether you are interested in discussing payment plans?

yesno
Agreement & Form Submission

Please note that funding may be refused or cancelled if one or more of the following occurs. Payment of the required portion of the camp fees are not received prior to the camp session. Payment of the required parent portion was not paid in the previous year. Sponsorship was previously granted and the child was sent home from poor behavior. Sponsorship was previously granted and the child does not show up for camp.
Signature*

Clear
Date

MonthDay Year
Date
Should be Empty:

Camper Sponsorship Application

Applicant's Info:

Camper's Info:

Camp Information

Financial Information

References

Funding Request

Agreement & Form Submission