Camps Of Hope

Section 1. Participant Information

Applications for children/youth up to age 21 are invited to apply
What county does the participant reside in?*

Hastings CountyNorthumberland CountyPrince Edward County

Child's Name*

First NameLast Name
Age*
Has the child/applicant above received funding from The Children’s Foundation in 2025?*

YesNo
What program did the child/applicant receive funding for if yes.

Parent/Guardian's Information
Parent or Guardian's Name*

First NameLast Name
Address*
City*
Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Is there a second parent or guardian in the household?*

yesno
Please provide names of all Parents/Guardians in the household
How many children live in the household?*
If there is more than one child in the household, what age are they?
Add all ages, separated by comma.

Section 2. Highland Shores Childrens Aid
What is your worker’s name?
If applicable
Worker's email address
example@example.com
Do you currently have an open file involved with the Highland Shores Children’s Aid Society?*

YesNo

Section 2. Qualifying Criteria
Annual GROSS Household income before taxes.*
Per your current Income Tax return for all individuals.
I receive the Canadian Child Benefit or CCB for my children.*

YesNo
Please attach your current CCB (Canada Child Benefit) Benefit Notice. (Acceptable file formats: pdf, jpg, jpeg, png, screenshots) Visit our program's page on our website to learn how to obtain this form.*

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Section 3. Organization Information

Tell us about the camp
Name of the Camp *
Camp Contact Name
When does the Camp start?*
Please provide a date.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization email*
example@example.com
Contact telephone*
What type of camp are you applying for?
What is the cost of the camp?*
Previous funding for the current year.
Internal Comments
Is there anything else you'd like us to know?
Chq #
Date
Invoice I.D. #
The Children's Foundation is a donor supported Organization. How will this funding impact your child and family positively?*

Section 4. Permissions & Signature

Last step!
I have thoroughly read and understand the guidelines of Camps of Hope and agree that this application meets the guidelines and is truthful.*

Yes
I give The Children's Foundation permission to contact me for testimonials and impact stories.*

YesNo
Guardian Signature*

Clear
Date signed*

MonthDayYear
Date
If you have any questions about this form, please submit an email to info@thechildrensfoundation.ca
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Camps of Hope Application