Pilgrim Pines 2019 Campership Application
Thank you for applying for Campership funds for your camper to attend our 2019 Summer Camp. This application can be completed ONLY by those requesting $250 or less in assistance AND are eligible under our income guidelines. If you are requesting additional funds, or are requesting assistance without meeting our eligibility guidelines, please contact us in order to complete and mail a paper application. WE MAY REQUEST VERIFICATION OF ELIGIBILITY AT ANY TIME. Please contact us with any questions.
Camper's First Name
Camper's Last Name
Camper's City, State and ZIP
Camper's Date of Birth
Grade entering Fall 2019
Age on July 1, 2019
Week Requested for Camp
Camper Age Group
Big Feet, Little Feet (Week Zero Only)
Jun-See High (Week One Only)
Optional. Some of our donors request this information.
If your camper has a home church, please list the name and city here
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