Campership Financial Assistance Application
Complete this form ONLY if you are a pastor, social worker, or school guidance counselor confirming this family's need for financial assistance in the form of a "campership" from Camp Bethel. To help our limited fund reach more children, we ask families requesting assistance to pay AS MUCH AS THEY CAN toward their camp fee, especially if they are requesting programs that are more expensive than basic resident or day camps. Maximum campership per child is up to $200 for a 3-day/2-night camp and up to $350 for a 6-day/5-night camp.

Before completing this application, you should have communicated directly with the requesting family to confirm (1) the camp program, (2) the camp dates, (3) the cost of the camp program (use the "Subsidized Fee"), and (4) the specific dollar amount of assistance requested from Camp Bethel. The dollar amount of assistance requested would be the cost of the program (Subsidized Fee) minus the amount the family can pay toward the camp fee. Maximum campership per child is up to $200 for a 3-day/2-night camp and up to $350 for a 6-day/5-night camp.

Camper's LAST name *
REQUIRED. Thank you for using correct capitalization for names and titles throughout this registration form.
Your answer
Camper's FIRST name *
REQUIRED. Thank you for using correct capitalization for names and titles throughout this registration form.
Your answer
Your first and last name *
REQUIRED. Thank you for using correct capitalization for names and titles throughout this registration form.
Your answer
Your relation to the camper? *
REQUIRED.
Name of your church/agency/school: *
Your answer
Your e-mail address: *
If we need to clarify or expand on your recommendation. Add our address [CampBethelOffice@gmail.com] to your contacts so that our reply doesn't go to your spam/junk. The Camp Director will contact you to verify your form completion.
Your answer
Your Best Phone: *
Include area code, (ex: 540-555-1234). The Camp Director will contact you to verify your form completion.
Your answer
Camper's Summer Camp Program Choice
From the pull down menus, select the camper's DATES and PROGRAM TITLE.
During Which Dates does the camper's chosen program occur? REQUIRED QUESTION. *
(Not sure of the exact dates of the camper's chosen program? Either contact the camper's family for details, OR open www.CampBethelVirginia.org/camps in another window/tab in your browser and check the Camp Program Title and Dates for this camper.)
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