Green Mountain Council
Green Mountain Council
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Digital Campership Form 2022
Parent Information
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Why is this campership needed?
*
Youth Information
Name
*
First
Last
Age
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Type of Unit
*
Pack
Troop
Crew
Unit Number
*
Is the youth new to Scouting?
*
Yes
No
If NO, How many years of involvement?
*
Scouting Rank
*
Does the youth attend Scouting functions regularly?
*
Yes
No
Why do you want to attend summer camp?
*
Have you attended the camp before?
*
Yes
No
Financial Information
Did the applicant participate in the fall popcorn sale this program year?
*
Yes
No
If Yes to the popcorn sale, what was the dollar amount sold?
*
What is the family annual income?
*
Under $20,000
20,001-$30,000
$30,001-$40,000
$40,001-$50,000
$50,001-$60,000
$60,001-$70,000
Over $70,000
Do you receive any form of public assistance?
*
Regular Camp Fee: $460
Scout Can Pay: Dollar Amount Needed
*
Family Can Pay: Dollar Amount Needed
*
Unit Can Pay: Dollar Amount Needed
*
Fundraising Can Pay: Dollar Amount Needed
*
Charter Org. Can Pay: Dollar Amount Needed
*
Other Contributions: Dollar Amount Needed
*
Amount of Campership Request:
*
By completing this application, I hereby request financial assistance from the Green Mountain Council. I certify that this information is true and correct to the best of my knowledge.
Parent/Guardian Print Name
*
Submit