Community Subsidy Application Form
Child/Participants details:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Day
-
Month
Year
Date
Camp Wanting Sponsorship For
Campground camp is held at
Pindari Adventures/Life
Other
Parent/Guardians Details:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Relationship to Child/Participant
Please select which sponsorship level you're applying for
%25 off
%50 off
%75 off
Why do you need sponsorship?
Submit
Should be Empty: