Camper Special Aid Request Form

Please enter the annual income from each of these sources. Enter 0 If no income is received from that particular source. Proof of income is required.

DOCUMENTATION OF INCOME REQUIRED:
1. Earnings/Wages: First and second pages of 2022 tax return, 2022 Form 1099(s), 2022 W-2(s) from each employer, or 2 most recent paycheck stubs from each worker or current unemployment paystub. If application is made prior to 1/31/2023, please use 2021 tax return, 1099, or W4 if a current paycheck stub is not available.
2. If you are self-employed, own your own business, and have NOT filed taxes yet, you may send a current Profit and Loss Statement.
3. Child Support/Alimony: Court order papers.
4. Social Security/Retirement: Letter from US government or 2022 retirement income tax document.
5. Government Support: Letter from US government. Example: TANF, food stamps, etc.

Camper Information

Guardian 1 Information

Guardian 2 Information

Doctor Information

Session Information

Standard and Special Financial Aid

This request form does NOT guarantee special aid or enrollment in camp.

CAMPER WILL NOT BE ENROLLED until deposit (full $500 or reduced per Committee) is paid and an enrollment application is submitted. This special aid form is not an enrollment application.

Name	Age	Relationship to Camper