Financial Aid Request

Camper's Name

Current Grade

Gender

Male Female

Parent/Guardian Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Email

Congregation Name

Congregation City

Which Site/Session would you like to attend?

Amount the family is able to pay?

Portion your congregation is willing to pay?

Any other information pertinent to your request?

Have you already submitted your registration?

Yes No

Do you need a Camper Tote?

Yes, my camper needs a Camper Tote No, my camper has these items for camp

A Camper Tote contains a sleeping bag, towel, flashlight, sunscreen, bug spray, a Bible, toothbrush, toothpaste, shampoo, and body wash. If purchasing or borrowing these items prevents your camper from attending, we'd like to provide them for you! Each Camper Tote will be in the camper's bunk/cabin/tipi when they arrive at camp.