Campership Application

Please enable JavaScript in your browser to complete this form.

SSCYC tries to help any camper who needs financial assistance in order to attend camp. Please know that we don’t want to deny anyone the opportunity to attend camp, however, the demand for financial assistance is often high, and our resources are limited. We work with your church or youth group to provide as much assistance as possible.

Families are expected to pay at least the $250.00 registration fee for each camper at a minimum.

Parent / Guardian Information

First Name

Last Name

Last Camper review

Address

Address Line 1

City

State

Zip Code

Phone

Email

Church or Youth Group

Camper Information

Please list each camper along with their date of birth that you have registered for camp this year.

Camper 1 First Name

Camper 1 Last Name

Camper 1 DOB

Campership Information

The following information is necessary in determining Campership awards and is kept strictly confidential.

How many people in your household?

Adults

Children

Total amount requested for Campership? (Evenly split across all your campers.)

Total Amount

Please explain your circumstances to validates this request. Failure to provide this will delay our ability to review your request.

Submission Instructions

Please type your name below as a digital signature.

By clicking “Submit Application,” you certify that all information above is true and accurate.

Signature