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 portion of the camper fee that you anticipate being able to pay. 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 child separately under Family Commitment.

(All information is confidential)

  • Camper's Date of Birth
  • Camper's Date of Birth
  • Camper's Date of Birth
  • Please complete all of the following information This form is not a camp registration form; camper is not registered until we receive this information AND a camper registration by mail or by fax. For assistance with completing payment of your Family Commitment over several months, contact Doug Mabey at (386) 647-6624 or


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11057 Dowling Park Dr. Live Oak, FL 32060

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