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. Camp Cavell's Website: www.campcavell.org
Child's First Name *
Each child must have a separate application
Child's Last Name *
Address *
House Number & Road/Street Name
City *
MI *
Zip Code *
County *
Child's Birthday *
MM
/
DD
/
YYYY
Child's Age *
Gender *
Name of Child’s School *
City of the School *
Grade in the Fall *
Person filling out the form *
Relationship *
Primary Phone Number *
We will be contacting you by phone. Important to give us CORRECT Numbers.
Alternate Phone Number *
Alternate Phone Number 2
Email *
We will be confirming campership awards by email. Important to give us CORRECT email.
Parents or Guardian’s Name
Please list functioning contact numbers and email addresses
Mother
Full Address
Phone Number
Email
Occupation
Place of Employment
Father
Full Address
Primary Phone
Alternate Phone
Email
Occupation
Place of Employment
Guardian
Full Address
Primary Phone
Alternate Phone
Email
Occupation
Place of Employment
*
Mother
Father
Both Parents
Guardian
Other
Child lives with:
Other
If you check "Other" from above. What's your Relationship to the child?
Why Campership? *
Why should this child be considered for a Campership?
Mother's Household Income:
Father's Household Income:
Guardian's Household Income:
Did either parent serve in the Military? *
If yes, what branch of the Military?
Please specify
Name of parent that served in the Military.
Please specify
Child Support:
SSI Benefits
If family receives SSI benefits, please provide case number.
Food Stamps? *
Is Family receiving Food Stamps?
Other aid?
Please specify
Household # *
Number of persons in household where child lives
Requesting Campership
Names of any siblings you are requesting campership assistance for and please give full names of each child
Other Camps?
Has this child received any other Camperships from other camps. If so, what camp?
Circumstances
Are there any extenuating circumstances you would like us to consider
**SUMMER CAMP Only a limited number of Campership slots are available for each session. Males are limited to the coed weeks and boy's only week. 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
Second Choice *
Camp Session your child would like to attend: Provide Dates & Program Name
Transportation *
Do you NEED transportation for your child to and from Camp? (Campership does not cover bus transportation fees)
Yes
No
Transportation 
Shirt Size (Only for Summer Camp Campers)
Name *
Parent/Guardian Signature Required
*
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
Text *
Will your phone allow us to text you
Thank you!
Submit
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