2009 Camp Financial Assistance Form - Camp Like A Girl
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2Girl Scouts, Hornets’ Nest Council
7007 Idlewild Road, Charlotte, NC 28212
704-731-6500, Toll-Free 800-868-0528, Fax 704-567-0598
Website:
2015 Resident Camp Financial Assistance Form
Financial Assistance is available and can be applied toward resident camp sessions at Camp Ginger
Cascades, Camp Keyauwee and Camp Pisgah operated by Girl Scouts Carolinas Peaks to Piedmont and
Camp Mary Atkinson, Camp Hardee, and Camp Graham operated by Girl Scouts North Carolina Coastal
Pines.
Guidelines for Applying for Financial Assistance:
Return completed financial assistance application to Girl Scouts, Hornets’ Nest Council.
Registration for camp, including appropriate deposits, is done through the Council sponsoring the
camp. Please note on your registration that you are applying for financial assistance through
GSHNC.
The deadline to receive financial assistance for the 2015 camp year is April 1, 2015.
Applications that are received after this date cannot be considered.
Financial assistance will only be given for one session of camp.
Incomplete forms cannot be processed and will be returned for additional information.
Financial Assistance applications for members of the same household must be turned in at the
same time.
Girls needing assistance must be registered Girl Scouts (registration assistance is available; to
apply for this assistance please fill out the Registration Assistance Request form, do not apply for
registration assistance with this form).
Girl’s Name
Address
City
State
Zip
Phone (Home)
Phone (Mobile)
E-Mail
Troop Number
Leader
Service Unit
Mother’s/Guardian’s Name
Occupation
Father’s/Guardian’s Name
Occupation
Approximate combined family income per year
Additional income and source (including government assistance or benefits, alimony, child support, etc.)
Number of children under age 18 at home
Please select the camp for which you are seeking financial assistance.
Girl Scouts North Carolina
Girl Scouts Carolinas
Coastal Pines
Peaks to Piedmont
Camp Mary Atkinson
Camp Ginger Cascades
Camp Hardee
Camp Keyauwee
Camp Graham
Camp Pisgah
Session:
Program:
Camp Store &
Cost of Program:
Transportation
Amount Family Can Pay:
costs MAY NOT be
included on
Amount Girl Scout can contribute (including Cookie Dough):
Financial
Total amount of Financial Assistance needed:
Assistance request.
Camp_Financial_Assistance_Form_P
10/17/2014
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