Application Form Name of Contact * First Last Email Address * Phone * Program seeking Financial Aid for: * -Select one- Day Camp Group Camp Please select the program that you are attending/seeking to attend. Previous Next Camper's Name * First Last Camper's Age: * Camper's Date of Birth * Day Camp sessions camper will be attending: * Session 1: May 28-31, 2019 Session 2: June 3-7, 2019 Session 3: June 10-14, 2019 Session 4: June 17-21, 2019 Session 5: June 24-28, 2019 Session 6: July 8-12, 2019 Session 7: July 15-19, 2019 Session 8: July 22-26, 2019 Session 9: July 29-August 2, 2019 Session 10: August 5-9, 2019 Do you have another child to add? * yes no Camper's Name First Last Camper's Age: Camper's Date of Birth Day Camp sessions camper will be attending: Session 1: May 28-31, 2019 Session 2: June 3-7, 2019 Session 3: June 10-14, 2019 Session 4: June 17-21, 2019 Session 5: June 24-28, 2019 Session 6: July 8-12, 2019 Session 7: July 15-19, 2019 Session 8: July 22-26, 2019 Session 9: July 29-August 2, 2019 Session 10: August 5-9, 2019 Parent and Family Information Parent/Guardian Name * First Last Parent/Guardian Phone * Parent/Guardian Email * Mailing Address * Address Line 1 * Address Line 2 City * State * Zip Code * Names and Ages of other children in household: Marital Status * — Select — Married Divorced Separated Widowed Single Other Camper is living with: * — Select — Parents Mother Father Foster Care Other Please indicate/explain your need for assistance: * Please be specific. Financial Information Please give current gross (before taxes) income from all sources, as earned by the camper's parent/guardian(s). Source of Income: * Income amount: * Income is: * Yearly Monthly Weekly Other Source of Income 2: Income 2 amount: Income is: Yearly Monthly Weekly Other Source of Income 3: Income 3 amount: Income is: Yearly Monthly Weekly Other Previous Next Family Camp Financial Aid application Please fill out this preliminary information so we can best understand your financial aid request. Address Field * Address Line 1 * Address Line 2 City * State * Zip Code * Which session of Family Camp are you interested in attending? * Session 1: June 9-15, 2019 Session 2: June 16-22, 2019 Session 3: June 23-29, 2019 Session 4: June 30-July 6, 2019 Session 5: July 7-13, 2019 Session 6: July 14-20, 2019 Session 7: July 21-27, 2019 Session 8: July 28-August 3, 2019 Session 9: August 4-10, 2019 Names and Ages of children * Type of Financial Aid * — Select — Military discount Payment plan Scholarship ($ amount) Discount (%) Please select the kind of financial aid you are seeking. What is your current military status? * Active Veteran Our military discount is 50% off the total price of camp. Please understand that priority is given to active members, but all are welcome to apply. Please indicate/explain your need for assistance: * Previous Next Group Camp Financial Aid application Please fill out this preliminary information so that we can best understand your financial aid request. Name * First Last Your relationship to the individual seeking financial aid: * — Select — Parent/Guardian Youth Pastor/Leader I am personally seeking financial aid Type of Financial Aid * — Select — scholarship ($ amount) discount (%) Please select the kind of financial aid you are seeking. After clicking "submit," your request will be sent to the director of the program you are seeking to attend. That director will then reach out to you to begin processing your request. Please be aware that funds are limited, based on need, and awarded on a first-come, first-serve basis.
