Council Campership Request Form - Boy Scouts Of America (Page 2 of 2) in pdf

SAM HOUSTON AREA COUNCIL

BOY SCOUTS OF AMERICA

COUNCIL CAMPERSHIP REQUEST FORM

Date Received _________________

CAMPERSHIP PURPOSE: The purpose of campership aid is to make attendance to a Council Resident Camp

possible to deserving Scouts who otherwise would not be able to meet the fee requirements. It is important that the

details shall be handled in such a way as to cause no embarrassment to the Scout or his family. All Scouts who

receive campership help should earn or provide part of the fee, in keeping with the ninth part of the "Scout

Law", "A Scout is Thrifty".

Complete all information and transmit this application by April 15’th For Summer Camp and October 1’st for Winter

Camp to: Sam Houston Area Council, BSA Attn: Program Services to, P. O. Box 924528, Houston, TX. 77292-4528.

PLEASE PRINT

CAMPERSHIP APPLICATION For: (Please Print Legibly)

Name _____________________________________________Unit No. _____________District __________

Address _____________________________________ City ____________________ST _______Zip __________

Phone (______) _____________________ Birthdate: Month __________ Day __________ Year _________

We certify that we have talked with the above named Scout regarding his attendance at:

_______________________________during _____________________ with Unit/Super Troop___________

(Camp Attending: Summer Camp, Winter Camp, etc.,)

(Date in Camp)

and present the following plan to care for his attendance fee: NOTE: Camperships are not transferable to another

Scout.

1. Amount Scout and family will pay

$____________

½ of fee is the maximum

2. Amount Institution or Unit Treasury will pay

$____________

that can be awarded

*3. Amount requested from Campership Fund

$____________

Please attach letter of the special financial need(s) which make it a hardship for the entire fee to paid by the applicant.

Did you unit participate in the following programs:

1. Scout Fair Ticket Sales Program. Y or N

3. Friends of Scouting (FOS) 2011

Y or N

2. Council Popcorn Program

Y or N

4.Other money earning projects: __________________

___________________________________________________________________________________________

This Campership request is for:

[ ] CRC Summer Camp [ ] WHB Summer Camp [ ] RR Summer Camp [ ] Winter Camp [ ] NYLT [ ] Bovay Resident Camp

We have indicated above the maximum support available from the Scout, family, institution and our own funds and we

recommend approval of this request if financial scholarship is available. PLEASE PRINT, all information filled out in

full, and ALL Signatures must be completed prior to submitting application to Camping Services.

(1) Unit Leader Name _________________________________ Signature ________________________________

Please Print

Address __________________________________________ City __________________ State _____ Zip _______

Registered Position _______________________ Phone # (Day) ___________________ (Night) ______________

(2) I hereby consent that my son participate in this activity (parent or guardian) Phone(_____)_____________

Parent/Guardian_________________________________________Signature______________________________

Please Print

Address _________________________________________ City __________________ State _____ Zip ________

(3) District Executive Signature (Required)__________________________________(Date)__________________

Office Use Only:

__________

OFFICE USE: Money Received with application, Date: _________ Amount: __________ By:____________

Council Campership Request Form - Boy Scouts Of America Page 2

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