Campership Application Form

Campership Application Form

Please answer all questions (those not applicable, please use N/A)
Name of Parent/Guardian (1)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work
Please enter a valid phone number.Format: (000) 000-0000.
Cell/Other
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Name of Parent/Guardian (2)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work
Please enter a valid phone number.Format: (000) 000-0000.
Cell/Other
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Check Proper Category
With whom does the child live?
Name of Parent/Guardian (1)

First NameLast Name
Occupation
Self-Employed
Place of employment/Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of Parent/Guardian (2)

First NameLast Name
Occupation
Self-Employed
Place of employment/Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name(s) of others living in the home
Campership Applicant Information
Camper's Full Name

First NameLast Name
Age
Name of Camp/Contact Information
Cost of Camp Program ($)
Camper's Full Name

First NameLast Name
Age
Name of Camp/Contact Information
Cost of Camp Program ($)
Registration Cost/Subsidy Awarded from the Camp Scholarship Fund:
Registration Cost Amount Household is paying:
Other sources of funding obtained (i.e., family, friends, church, clubs):
How much is being requested from JFS:
Financial Information

Please upload/submit proof of all forms of income for all household members 18 yrs. of age and older, see File Upload at the bottom of form.
Monthly Gross Income
Total Monthly Household Expenses
Please provide any additional information which you feel to be important when we are considering your application:
Please provide an essay as to how the camper would benefit from the camp experience/ why they would like to attend (feel free to attach additional paper as needed):
Signature of Parent/Guardian
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
File Upload: Please submit proof of all forms of income for all household members 18 yrs. of age and older (include 2 most current months of paystubs, cash aid notice of action, alimony support, SSI, SSA, SSDI, receipts for cash payment for employment, copy of current 1040 tax return, copies of ID’s for parent(s) and camper.

Cancelof
Should be Empty:

Campership Application Form

Campership Applicant Information

Financial Information