JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Campership Request Form
We never want finances to be the reason a child doesn't get to experience camp! We offer camperships to those families who need help making this happen.
Please note: Max of one Campership per Camper per Summer
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Camper's Name
*
Your answer
Grade (your camper is going into)
*
Your answer
Parent/Guardian Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
What camp are you attending?
*
June 12-16 5th and 6th Grade Camp
June 19-23 7th and 8th Grade Camp
June 26-29 Primary Camp
July 10-14 High School Camp
July 17-21 5th and 6th Grade Camp
July 24-28 7th and 8th Grade Camp
July 31- August 3 3rd and 4th Grade Camp
Scholarship Amount Needed - We ask that you give what you can towards your child's camp experience.
*
25%
50%
75%
$100 (Full Primary Camp Fee)
$150 (Full 3rd-4th Camp Fee)
$180 (Full Regular Camp Fee)
Other:
Why are you requesting a Campership from Haven on the Rock?
*
Your answer
Why would your child like to attend Haven on the Rock?
*
Your answer
If your child has attended Haven on the Rock in the past, please tell us how camp has impacted their life:
*
Your answer
We have partnered with Angel Tree Camps. They offer a separate opportunity for campers to have a free week of camp. Campers who have a parent incarcerated and any child living in their house hold would qualify. Also any camper who has received a Christmas present through Angel Tree on behave of an incarcerated parent and any child living in their house hold would qualify. Would you like more information on this option?
*
Yes
No
If you have any questions, please feel free to call (307) 575 - 6515 or email info@havenontherock.org
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Haven on the Rock.
Report Abuse
Forms