2019 Campership Form for Cub Scout Day Camp
Full Name of Scout *
Your answer
Address *
Your answer
Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Pack # *
Your answer
District *
Rank as of September 2019
Your answer
Cubmaster's Name *
Your answer
Cubmaster's email address *
Your answer
What camp and date Scout is attending? *
Your answer
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 with all social security numbers blacked out, write Scout's name at top of page and mail to Connecticut Rivers Council Office *
Your answer
Scout Family contribution - It is required that in the Scout and/or the family contribute to the cost of the camp fee *
Your answer
Unit/Charter Organiztion Contribution *
Your answer
Amount of Campership Requested *
Your answer
Please indicate below which programs that you or the Scout have participated in during the last year *
Required
Is a parent or guardian 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
Phone number *
Your answer
Email address *
Your answer
Address if different from Scout
Your answer
Relationship to Scout *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service