Campership Application

NOTE: No camperships will be awarded at registration. You must submit a scholarship application at least two weeks prior to the beginning of camp.

Family Commitment: Please enter the amount you can pay towards each camper’s fee. We encourage you to put as much as possible towards your child’s camp fee so that we can give assistance to as many children as possible. Campership funds are limited and will be awarded based on family income and hardship situations. Please list each camper separately and the amount you can pay for EACH Camper separately under Family Commitment. All information is confidential.

Please complete all of the following information. This form is not a camp registration form; the camper is not registered until we receive this information AND the camper is registered online via this link: https://www.campsuwanneecamps.org. For assistance with completing payment of your Family Commitment over several months, contact Randy Lamb at (386) 658-5344 or rlamb@acvillage.net.

Camper Name
Camper Date of Birth
Camper's Date of Birth
Month
Day
Year
Family Commitment (of total cost)
Camper Name
Camper Date of Birth
Camper's Date of Birth
Month
Day
Year
Family Commitment (of total cost)
Camper Name
Camper Date of Birth
Camper's Date of Birth
Month
Day
Year
Family Commitment (of total cost)
Person Making Request (your name)*
Relationship to Camper(s)*
Best Contact Number for You*
Best email address for you*
Your address (if different than campers)*
Street Address Address Line 2 City State ZIP Code
Camper's MONTHLY Family Income*
Total Number of People in Camper's Household*
Describe why you are requesting a campership*
Does the camper have a local church family?*
- Yes
- No
Do we have your permission to approach the local church with the opportunity to meet this need? (If no is selected, we will not contact the local church.)*
- Yes
- No
If yes, what is the name and address?*

Campership Application

Facilities