Camp Eagle Campership Application

Camperships can only be granted for ONE OVERNIGHT camp week per camper. Any additional excursions are not included in the campership and those fees are the responsibility of the camper and their parents. Unfortunately, camperships are not available for Day Camp Weeks.

SCHOLARSHIP INFORMATION

Parent/Guardian Name *

Parent/Guardian Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email *

Preferred Phone Number

(###)

###

####

Additional Phone Number

(###)

###

####

Work Phone

(###)

###

####

Current Employer *

Job Title *

Monthly Income *

Monthly Expenses *

Number of Dependent Children *

How did you hear about Camp Eagle? *

Church Name *

Pastor's Name *

Have you checked with your church about available scholarship money? *

If yes, how much is available?

A letter from your Pastor verifying the need you have for a Campership may be requested.

Deposit Required *

A $50 deposit is required to reserve your camper's spot. This deposit is NOT refundable. Are you able to pay the $50 non-refundable deposit?

Remaining Balance Due *

A remaining balance of $50 will be due at Camper Check-In. Are you able to pay the $50 remaining balance when your camper arrives at Camper Check-In?

Are you or your child eligible to receive any scholarship money from any other source? *

If so, where?

How Much?

Reason for Campership Request *

Please provide a short summary.

CAMPER INFORMATION

Please complete a separate application for each camper applying for a Campership.

Camper Name *

Camper Name

First Name

Last Name

Camper's Date of Birth *

Camper's Date of Birth

YYYY

Camper's Gender *

Have you ever attended Camp Eagle? *

Have you ever received a Campership? *

If yes, when?

YYYY

If you died today, do you know for sure that you would go to heaven? *

If yes or maybe, why?

Parent/Guardian Electronic Signature *

By typing your name below, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. You consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E - Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E -Signature or any resulting contract. You also represent that you are authorized to enter into this Agreement.