Camp Bed-Stuy 2016 - Financial Assistance
We ask for a deposit in order to hold your child’s spot for camp. We do not offer full financial assistance, but do our best to assist our families based on income and financial need.

Any deposit that is made goes towards your camp fees.

First Name
Camper
Last Name
Camper
Age
Grade
Current School
Address
City
State
Zip Code
First Name
Parent (1)
Last Name
Parent (1)
Cell Phone
Home Phone
Email
Home Address
City
State
Zip
First Name
Parent (2)
Last Name
Parent (2)
Cell Phone
Home Phone
Email
Address
City
State
Zip
Combined household monthly earnings (before taxes):
Additional household income (this includes Social Security benefits, unemployment, federal/state aid, alimony, Veteran’s benefits, etc.):
Total number of people living in the household supported by above income:
Number of children in household
Sessions
What are you able to contribute?
(based on total number of sessions above checked)
How much assistance you will need?
(based on the total number of sessions checked minus your contribution)
Are you at 1199 or Local 100 member?
School
Submit
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