Support Us

Campership Application

The Campership Fund is meant to supplement the amount that families are able to afford. This Fund is composed of contributions from Association memberships, individuals, businesses, and foundations.

To apply for a Campership award please complete and submit this form along with any other relevant conditions to be considered (i.e.: unemployment, medical expenses, etc.) and a letter from your camper as to why he/she would like to attend camp.

In order to make the funds available to as many children as possible, each family is asked to pay as much as they can reasonably afford.

Please submit this form ASAP. Campership funds are limited and demand can exceed availability.

All information will be kept confidential. Once you have been given an award offer you will be required to make a deposit in order to complete your registration and reserve a space for your camper.

Camper(s) Name(s) Include siblings if enrolling multiple campers.

NewReturning

Camper(s) Birthdate(s) (required)

Camper's Ethnicity

Other:

Primary Language Spoken at Home:

Parent Name:

E-mail:

Phone Number:

Select your preferred session:
10-Day Introductory Program - Sun. June 25th - Tue. July 4th
1st - 15 Days - Sun. June 25th - Sun. July 9th
2nd - 15 Days - Wed. July 12th - Wed. July 26th
3rd - 15 Days - Sat. July 29th - Sat. Aug. 12th

Select your preferred program:
Wilderness Base Camp
CIT Leadership Training
Summit to Summit
Hiking
Wild
Walkabout

My camper would like bus transportation from:
Palo AltoBerkeleyDunniganRedding
I do not need bus transportation. I will arrange for my camper to be dropped off at Scott Mountain Summit

Check all that apply and explain below
My campers has:
Medication they will bring to CampAllergiesSpecial Dietary Needs

Amount your family can contribute toward your child’s wilderness experience (per session, per child):

Number of children at home:

Number of foster children:

Please provide the following information for each parent/guardian (employers will not be contacted)

Parent/guardian #1: Type of work:
   Annual Gross Income :

Parent/guardian #2: Type of work:
   Annual Gross Income

Does your household receive Calfresh, Calworks, Food Distribution Program on Indian Reservation (FDPIR), Workforce Investment Act (WIA) or KIN-GAP Benefits?
YesNo

Please explain any other relevant conditions to be considered (i.e.: unemployment, medical expenses, etc.)

Please include a letter from your camper explaining why he/she would like to attend camp in the box below

If your camper prefers to write his/her letter by hand and send it to us in the mail or scan and e-mail it to director@gocampu.com, please make note that they will do so in the box above.

Please add any message - including details about medications, allergies, and dietary needs

Please contact me with our campership award offer by:
E-mailPhone

To confirm, please copy the letters from the image into the space below
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