2009 Camp Financial Assistance Form - Camp Like A Girl (Page 2 of 2) in pdf

1. Please explain in detail why this Girl Scout needs financial assistance for summer program:

________________________________________________________________

2. Please describe any special circumstances that will aid the committee in making a decision

regarding your application:

________________________________________________________________

3. Are you applying for financial assistance for another child? O Yes O No

_______________________________________________

Name:

4. Has this camper attended Girl Scout summer program before? O Yes O No

___________

If yes, number of years:

5. Has this camper received financial assistance for summer camp before? O Yes O No

6. Will this camper be attending any other summer program (with Girl Scouts or another

organization) this year? O Yes O No

7. Did or will this camper participate in the 2014-2015 Cookie Sale? O Yes O No

If yes, did she/will she earn Cookie Dough as an incentive? O Yes, amount $___________ O No

8. Did this camper participate in the 2014-2015 Fall Sale? O Yes O No

9. Why do you want to participate in this program this summer? (to be completed by camper)

________________________________________________________________

Every effort will be made to grant a portion of all financial assistance requests, depending on the funding

available. However, in the event that the financial assistance is not granted, the camp deposit is non-

refundable.

I have read and understand the above Girl Financial Assistance Guidelines and I understand

financial assistance is available for individual girls who may otherwise not be able to participate

and is not an income source for the troop.

____________________________________

__________

Signature of Parent/Guardian

Date

2009 Camp Financial Assistance Form - Camp Like A Girl Page 2