SMRCDC District 7 Summer Youth Camp Application

SMRCDC District 7 Summer Youth Camp Application

Apply for the District 7 Summer Youth Camp initiative. Please complete the following sections. All fields are optional unless marked as required.
Organization Information
Organization Name
Pastor Name/Camp Coordinator
Organization Top Executive (Person Responsible for Program)
Camp Mailing Address - Street
Camp Mailing Address - City
Camp Mailing Address - State
Camp Mailing Address - Zip Code
Camp Street Address
Organization EIN
Camp Details
Date Camp Started

MonthDayYear
Date
Number of Campers (Minimum Enrollment 25 on or before 6/9/25)
Anticipated Camp End Date

MonthDayYear
Date
Programs Offered
Programs Offered - Other (1)
Programs Offered - Other (2)
Programs Offered - Other (3)
Compliance/Training
MSCS Food Bank Training Completion Date

MonthDayYear
Date
Shelby County Commission District
Certification
Certification Name/Signature
Certifying Officer of Organization
Position
Certification Date

MonthDayYear
Date
Should be Empty: