Camp Glen Brook Campership Assistance Application 2021
Campership is available due to the generosity of our donors. Campership is specifically for campers who would not otherwise be able to afford a summer experience at Camp Glen Brook.

Step 1: Fill out the following form completely and submit a copy of your most recently completed IRS 1040 or 1040A to campership@glenbrook.org or Camp Glen Brook 35 Glen Brook Road Marlborough NH 03455

Step 2: Apply for your child(ren) online at glenbrook.org

Step 3: Your campership application will be considered on a rolling basis beginning in mid February until our campership funds are depleted.

Step 4: If you are awarded campership, you will be asked to place a deposit, and your camper will be enrolled. Payment of your balance will be due April 1st or on an otherwise agreed-upon date. If we are not able to award you the requested amount, your application will be cancelled, and the spot will be made available for another camper.

If we can offer adequate assistance, we will agree upon a deposit and payment schedule.
If we cannot offer adequate assistance, you will be notified and your registration will be cancelled.
Email address *
Camper First Name *
(If applying for multiple campers write it as: "Name 1, Name 2, Name 3")
Camper Last Name *
Camp Session Requested *
Are you flexible about which session your child(ren) attend? *
Current grade of child/children *
How big is your household including yourself and all of your dependents? *
What is your zip code? *
Parent/Guardian 1 Occupation *
Parent/Guardian 1 Annual Gross Salary *
Parent/Guardian 2 Occupation *
Parent/Guardian 2 Annual Gross Salary *
Please describe any other sources of income, including amounts.
This Year's IRS Adjusted Gross Income *
You must also send in a copy of your 1040 form, both forms if filing separately. These go to campership@glenbrook.org
Do you have any assets beside your primary residence, car, and/or retirement funds? *
If so, please describe type and amount
How much, if any, child support do you receive? *
How much outside support (from family or other sources) will you receive toward a camp experience for your child(ren)? *
Do you own or rent your home? *
Monthly rent or mortgage and/or tax payment *
Are there any special circumstances you wish the committee to consider? *
Total Campership Assistance needed AFTER all applicable discounts (Early Bird, Buddy, Sibling) *
By typing my name in the below box, I assert that the information on this form is true and accurate to the best of my knowledge. I also acknowledge that camperships come from money raised specifically for campers who could not otherwise afford to attend Camp Glen Brook, and assert that I could not find a way for my camper to attend without the requested campership. *
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