Camp Cavell Kids' Campership Application
Please complete this application form and submit to Camp Cavell. We will contact you after your application is reviewed and if approved with the awarded amount. Camperships is available on a first come, first received basis and/or until funds are depleted. Proof of Income must be submitted with this application to receive financial aid. This can include pay stubs, income tax returns, copy of SSI award etc. *Notifications regarding campership awards are generally made by email.
Child's First Name *
Each child must have a separate application
Your answer
Child's Last Name *
Your answer
Address *
House Number & Road/Street Name
Your answer
City *
Your answer
MI *
Your answer
Zip Code *
Your answer
County *
Your answer
Child's Birthday *
Your answer
Child's Age *
Your answer
Gender *
Name of Child’s School *
Your answer
City of the School *
Your answer
Grade in the Fall *
Your answer
Person filling out the form *
Your answer
Relationship *
Your answer
Primary Phone Number *
We will be contacting you by phone. Important to give us CORRECT Numbers.
Your answer
Alternate Phone Number
Your answer
Email *
We will be confirming campership awards by email. Important to give us CORRECT email.
Your answer
Parents or Guardian’s Name
Please list functioning contact numbers and email addresses
Mother
Your answer
Full Address
Your answer
Phone Number
Your answer
Email
Your answer
Occupation
Your answer
Place of Employment
Your answer
Father
Your answer
Full Address
Your answer
Primary Phone
Your answer
Alternate Phone
Your answer
Email
Your answer
Occupation
Your answer
Place of Employment
Your answer
Guardian
Your answer
Full Address
Your answer
Primary Phone
Your answer
Alternate Phone
Your answer
Email
Your answer
Occupation
Your answer
Place of Employment
Your answer
*
Mother
Father
Both Parents
Guardian
Other
Child lives with:
Other
If you check "Other" from above. What's your Relationship to the child?
Your answer
Why Campership? *
Why should this child be considered for a Campership?
Your answer
Mother's Household Income:
Your answer
Father's Household Income:
Your answer
Guardian's Household Income:
Your answer
Did either parent serve in the Military? *
If yes, what branch in the Military?
Please specify
Your answer
Child Support:
Your answer
SSI Benefits
If family receives SSI benefits, please provide case number.
Your answer
Food Stamps? *
Is Family receiving Food Stamps?
Other aid?
Please specify
Your answer
Household # *
Number of persons in household where child lives
Your answer
Requesting Campership
Names of any siblings you are requesting campership assistance for and please give full names of each child
Your answer
Other Camps?
Has this child received any other Camperships from other camps. If so, what camp?
Your answer
Circumstances
Are there any extenuating circumstances you would like us to consider
Your answer
**SUMMER CAMP Only a limited number of Campership slots are available for each session. Males are limited to the last two (coed) weeks. Earlier sessions can more easily accommodate female campers. We can offer no guarantee that siblings will be offered the same session. Generally, campership funds do not cover bus transportation. Additionally, ALL families are expected to contribute a portion of the money needed for the child’s camp session.
**DAY CAMP Generally, campership funds do not cover bus transportation. Additionally, ALL families are expected to contribute a portion of the money needed for the child’s camp session.
First Choice *
Camp Session your child would like to attend: Provide Dates & Program Name
Your answer
Second Choice *
Camp Session your child would like to attend: Provide Dates & Program Name
Your answer
Transportation *
Do you NEED transportation for your child to and from Camp? (Campership does not cover bus transportation fees)
Yes
No
Transportation 
Name *
Parent/Guardian Signature Required
Your answer
*
I AFFIRM THAT THE INFORMATION ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE. In lieu of a signature, complete name above. Check Yes (or) No to validate information.
Yes
No
IMPORTANT
PLEASE SUBMIT THIS COMPLETED CAMPERSHIP APPLICATION AND SEND YOUR PROOF OF INCOME. By Fax 810-359-2430 Email office@campcavell.org or Mail To Camp Cavell 3335 Lakeshore Road, Lexington, MI 48450

Remember we will send out the reward by email, but it is important to have a working telephone number where we can contact you.

Primary Phone Number *
Please re-enter your Primary Telephone
Your answer
Text *
Will your phone allow us to text you
Thank you!
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