Campership Application

Campership Application

Camperships are made possible through the generosity of others giving to the Campership Endowment Fund. Available funds are limited. Please fill out this form to help up be good stewards of this fund.
Camper Information
Camper's Name

First NameLast Name
Additional Family Wishing to Attend Same Camp
One name per line; include grade for school-age children
Camp Wishing to Attend
Date Camp Begins

MonthDayYear
Date
Option #2
If the first camp option is full, we would like to grant a campership if a second week will work.
Date Camp Begins

MonthDayYear
Date
Person Submitting Campership
Submitter's Name

First NameLast Name
Relationship to Camper
Phone Number

Area CodePhone Number
E-mail
example@example.com
Address

Street Address

Mailing Address if different

CityState / Province

Postal / Zip Code
Reason(s) for Applying
Reason(s) for Applying
Explain Reason(s) for Applying
Thank you for your interest in a campership!
Our Registration Team will review
your application and be in touch.

Please Note: This is not a registration form.
To sign up for camp, please fill out an online registration form
after submitting this campership application.
Should be Empty: