Campership Grant Application

2008 CAMPERSHIP GRANT APPLICATION FORM

Southwest Conference United Church of Christ

Limited financial aid is available to those for whom the cost of camp is a serious obstacle.

The sponsoring church will be asked to match any camperships awarded from the Southwest Conference.

PLEASE SUBMIT THIS FORM TO YOUR LOCAL CHURCH CAMP REGISTRAR

Name of applicant

Address

City State Zip

Phone ( ) Email

Church name

EXPLANATION: (Please note in the space below any facts that you would like to bring to the attention of the

Camp Coordinator.)

Which camp will you be attending (circle one):

Young Junior Camp

-

Incoming 2^nd-3^rd graders

June 15 – 18, 2008

Cost: $150

Junior Camp

Incoming 4^th – 6^th graders

Cost: $300

Junior High Camp

Incoming 7th

- 9th graders

June 15-20, 2008

Cost: $300

Senior High Camp

Incoming 9^th -

’08 grads

June 29-July 5, 2008

Cost: $315

Amount paid by camper

$_________________

(1/3 = ($50 YJ) ($100 JU and JH) ($105 SH)

Amount by sponsoring church

$_________________

Requested from Southwest Conference

TOTAL (should equal cost of camp)

$________________

($150, $300, or $315)

June 15 – 20, 2008

(1/3 = ($50 YJ) ($100 JU and JH) ($105 SH)

$_______________

(1/3 = ($50 YJ) ($100 JU and JH) ($105 SH)

SUGGESTED FEE PAYMENTS

(Please note: Transportation fee is not included in campership grant.

Breakdowns of campership aid is suggested for a third each, but may be different. Please specify the amount.)

Signature of camper

Signature of parent or guardian

Signature of pastor

Campership Grant Request form must be accompanied with a Camp Registration,

A Health Form, and a Youth/Adult Covenant