2018 Campership Form for Cub Scout & Webelos Resident Camp
Scout's First Name *
Your answer
Scout's Last Name *
Your answer
Address *
Your answer
Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Pack # *
Your answer
District *
Rank as of September 2018 *
Your answer
Cubmaster's Name *
Your answer
Cubmaster's email address *
Your answer
Which Camp is your Scout Attending *
Scout Lives With *
Total Household Annual Income - You must submit a copy of the family's most recent Form 1040 to be considered for assistance. Please send the first page and black out the Social Security Number, write Scout's Name at top of page and mail to the Connecticut Rivers Council Office *
Your answer
Scout Family contribution - - It is required that the Scout and/or the family contribute to the cost of the camp fee *
Your answer
Unit/Charter Organization Contribution *
Your answer
Amount of Campership Requested *
Your answer
Please indicate below which programs that your or the Scout have paricipated in during the past year *
Is a parent or gaurdian of the Scout currently on active duty in the US Military?
Briefly Explain the financial need for assistance *
Your answer
Name of individual completing this form *
Your answer
Daytime Phone *
Your answer
Email Address *
Your answer
Address *
Your answer
Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Relationship to Scout *
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