Campership Application Form

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LONGS PEAK COUNCIL
BOY SCOUTS OF AMERICA
CAMPERSHIP APPLICATION
Pack #________
Troop #________
Team #__________ Crew #__________
Scout’s Name:____________________________________________ DOB: ____/_____/__________
Street Address: _____________________________________________________________________
City, State, Zip: ______________________________________________________________________
Home Phone: (_____) _____-__________
Parent’s Name(s): ___________________________________________________________________
Council: ____________________________________________ District:_________________________
Please check camp attending: (You must be registered for camp, camperships will not be
granted to Scouts whose troop is not yet registered.)
Camp Jeffrey
Camp Laramie Peak
Elkhorn
Nicol Cub Scout Camp: Week #______
Campership Request
$_________________
Request submitted by:
In Person at Greeley Office
Mail
Email
Fax
Date Request submitted: ________________________________________
Return completed application no later than April 1 to:
Longs Peak Council – Camperships
P.O. Box 1166
Greeley, CO 80632-1166
Fax – 970.330.7961
Email -
Campership Questions: (970) 584.2202 or
Keep this page for your records.
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