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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
MM
/
DD
/
YYYY
# 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?
MM
/
DD
/
YYYY
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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