Camp Fee Assistance Form - Boy Scouts Of America
ADVERTISEMENT
1Lincoln Heritage Council
Boy Scouts of America
Camp Fee Assistance Form
The Lincoln Heritage Council financial assistance application must be filled out completely by a parent or guardian. Funds
are limited to need and availability.
Cub Scout Day Camp (Write Location Below)
Boy Scout Summer Camp at Camp Crooked Creek
Cub Resident Camp at Tunnel Mill
Boy Scout Summer Camp at Roy C Manchester
Cub Resident Camp at Camp Crooked Creek
National Youth Leadership Training (NYLT)
Cub Resident Camp at Roy C Manchester
Winter Camp
Webelos Resident Camp at Tunnel Mill
Webelos Resident Camp at Camp Crooked Creek
Webelos Resident Camp at Roy C Manchester
*Note: Financial Assistance is not awarded for any camps until the year that the camp is being held. If
you mark a camp during the fall, you must re-apply in the new year for the camps the following year.*
Please write in the Day Camp your Scout is attending: ____________________________________________
District: ____________________________________ Unit Type: Pack / Troop / Crew
Unit #:
Scout’s Name:
Date of Birth:
/
/
Phone: ___________
Email:_____________________________________ Current Grade Level in School: ____________________
Parent/Guardian Name: ____________________________Address:_________________________________
City: ___________________________________State:___________County:_____________ Zip: __________
Parent/Guardian Place of Employment :( Father) _________________________________________________
Parent/Guardian Place of Employment: (Mother) _________________________________________________
Annual household Income including child support, alimony, and government assistance $ ________________
Our family will financially assist by providing $
toward the above requested item(s).
Reason for request:
____________
Do you receive any government assistance? Explain:_________________________
Yes
No
Does the Scout live in a single parent family?
Yes
No
Does the Scout participate in the annual popcorn sale?
Amount sold________
Yes
No
Does your unit support the Family Friends of Scouting Campaign?
Yes
No
Does the Scout participate in the annual Camp Card Sale? Amount sold_______
Yes
No
The Lincoln Heritage Council has my permission to use this information to obtain
Yes
No
data from the local school district for purposes of reporting to the United Way & other foundations.
Scout’s most recent report card grade in Math ____________ and Reading/Language Arts_______________
Does the Scout have any disabilities? Yes or No. If yes, what type___________________________________
How long has your Scout been in Scouting?
Number of children under 18 in household
Parent/Guardian Signature: ________________________________________ Date: ____________________
Thank you for involving your son in Scouting!!
Return to: Lincoln Heritage Council, BSA
ALL INFORMATION WILL REMAIN CONFIDENTIAL
12001 Sycamore Station Place
Louisville, KY 40299
Or Fax to: (502) 361-7899
revised 2/12/2015
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business