Campership Application for Resident Camp
Campership request will not be processed if not completed in its entirety. Camperships are only given once a summer, per individual.

Camperships provide financial assistance to girls who could not otherwise attend camp. It is expected that the parent/guardian applying for a campership pay 70-90%. All requests are kept confidential. Priority will be given to girls who have not had a previous camping experience.

Name of Girl *
Your answer
Phone *
Your answer
Troop # *
Your answer
Address *
Your answer
City *
Your answer
State/Zip *
Your answer
Camp Attending *
Date of Birth *
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# of Years in Girl Scouting *
Your answer
Grade Level in Fall 2015 *
Father's Name
Your answer
Father's Place of Employments *
Your answer
Mother's Name *
Your answer
Mother's Place of Employment *
Your answer
Family's Annual Income *
Please list your family's annual income for the last 12 months from all sources (earned, Social Security, child support, government assistance, unemployment compensation, etc. )
Your answer
Number of Persons in Household *
Needed to determine eligibility
Your answer
Our child qualified for the following lunch program this year. *
Did your child participate in the cookie sale program? *
If not, why?
Your answer
Has your child received a campership before? *
If yes, when?
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By typing your name below, I acknowledge that the above information is accurate to the best of my knowledge. *
Your answer
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