Campership Eligibility Form printable pdf download

CAMPERSHIP ELIGIBILITY FORM

(Financial Aid)

APPLICATION MUST BE RECEIVED IN OUR OFFICE BY JUNE 15

Camper’s Name____________________________________________________________

Address: __________________________________________________________________

Parent’s Email Address ______________________________________________________

Telephone # (_______) _________________________

All Children in Family Ages:

Parent’s Names: ______________________________

_________________

______

Church/Location_____________/_________________

_________________

______

Work Phone # (______) ________________________

_________________

______

Family Income: _______________________________

_________________

______

CAMP SESSIONS FOR CAMPERSHIPS: Please mark the appropriate box which session

you are applying for. (Please Note: These are the only sessions camperships are offered)

Discovery (grades 2-5)

Jr/Sr High # 1 (grades 6-12)

It is our desire that _____________________ would be able to participate in Berea’s summer camp

program. However, our financial resources are presently limited and may not be sufficient to send

him/her. We have prayerfully considered our financial needs for the next year, our anticipated resources,

and God’s ability to fully meet those needs. We have contacted our local church for financial assistance

and they will assist in the amount of $__________. Having taken all things into consideration, we feel

that we would need to receive a grant for at least ___________ to be able to have our child participate in

Berea’s summer program.

We agree that as part of our tithe or as God blesses us financially, we will

consider giving back into this fund which makes it possible for so many to go to

camp when they are temporarily in need.

Signature of Parent: _______________________________________Date:________________

It is important that you send all of the following:

1. This completed form

2. Copy of latest Federal Income Tax return (all pages) The campership will NOT be

processed until we receive all pages of your tax return.

3. Completed Camp Registration Form. Payment not necessary until application is

approved. (Do not use the Health Form for registration.)

4. 1-3 paragraphs describing financial need not reflected in the Tax Return

5. A letter of commitment from your church indicating the amount they will be sending.

SEND TO: Berea, Attn: Campership Administrator, 68 Berea Road, Hebron, NH 03241

Campership Eligibility Form