2017 Campership Request Form
This form is for Adventist families who have a desire to send their children to summer camp at Camp Au Sable, however, due to financial/personal hardship, are requesting special assistance. ONE FORM MUST BE FILLED OUT PER CHILD.

In order to complete your request, a recommendation form must be filled out and submitted by a church pastor/leader or child's teacher. One recommendation form may be used for all siblings.

The link for the recommendation form can be found here: http://goo.gl/forms/p8ihlSigDK

** THIS APPLICATION & RECOMMENDATION FORM MUST BE RECEIVED BY MAY 1, 2017 IN ORDER TO BE ELIGIBLE. **

Also, please note that camp classes are on a first come, first served basis. Campership Requests may take a few weeks to process and we cannot reserve any classes until full payment or a payment plan is secured.

For any questions regarding our Campership program, please contact Tammy Micheff at tmicheff@misda.org or call (517)316-1570.

Camper's Full Name
Your answer
Gender
Date of Birth
Your answer
Camp Requesting
Parent/Guardian Full Name
Your answer
Street Address, City, State, and Zip Code
Your answer
Email Address
Your answer
Primary Phone Number
Your answer
Secondary Phone Number
Your answer
Member of a Michigan Conference Seventh-day Adventist Church?
Name of Local Church Pastor
Your answer
Have you received Campership Assistance in the past?
If yes, please list the years.
Your answer
Are you employed?
Are you a single parent?
How many adults in your household?
How many children in your household?
Please describe your hardship.
Your answer
Assistance Options
You have reached the end of the Campership Request Form.
After you have submitted this form, kindly ensure that you have your church pastor/leader or child's teacher fill out the recommendation form in order to complete this application process. The deadline to submit both forms is May 1, 2017. Thank you and God bless you!
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