Campership Fund Application - Day Camp
Campership Fund Application - Day Camp
1
Personal Info
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2
Financial Details
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3
Request Details
BACKGROUND
The Spruce Lake & Pinebrook Day Camp Campership Fund was established to provide financial assistance to campers who are otherwise not able to pay full camp tuition. It is our desire that the Day Camp experience is available to every child for at least one week of camp regardless of ability to pay the full tuition.
HOW TO APPLY
1. If the camper is involved in a church, ask if the church can provide assistance for camp tuition. If so, please indicate the amount of tuition assistance the church will provide. If no assistance is available, write “0”.
2. Complete all portions of this application and click Submit.
3. Look for an email confirming the status of your application.
GENERAL INFORMATION
If, as the requestor, you are not an immediate family member, we ask that you complete this form in full cooperation with the camper’s parents or guardians.
Campership funds go toward regular tuition of the 9am to 4pm program. Campership funds do not apply to add-on fees such as before/after care or shuttle fees.
Campership eligibility is determined based on income. If you qualify for the Tier 1 Campership, tuition will be reduced to $130/week or $26/day (plus any add-on fees). The Tier 2 Campership reduces tuition to $150/week or $30/day (plus any add-on fees).
Please contact us at 570-595-7505 ext. 4 if you need to request additional financial assistance - it is Spruce Lake & Pinebrook's desire to provide a Day Camp experience to everyone for at least one week regardless of ability to pay full tuition.
Requestor Full Name
Requestor Full Name
*
First
Last
Relationship to Camper
*
Parent
Guardian
Grandparent
Family Friend
Other
Best Contact Email
*
Best Phone Number
Best Phone Number
*
-
###
-
###
####
Camper Full Name(s)
*
Camper Birthdate
Camper Birthdate
/
MM
/
DD
YYYY
Parent/Guardian(s') Full Name(s)
*
Which Day Camp location will the camper attend?
*
Pinebrook (East Stroudsburg)
Spruce Lake (Canadensis)
What is the number of weeks of camp you would like your camper to attend?
*
1
2
3
4
5
6
7
8
9
10
11
Please select any additional services needed:
*
Please select any additional services needed:
Bus Service (Swiftwater/Mt Pocono Area)
Before Care (7:30-9:00 AM)
After Care (4-5:30 PM)
Before & After Care
None
Please note: Campership funds do not apply to add-on fees such as before/after care or shuttle fees.