Campership Application

Name of Youth Applicant:

Address Line 1:

Address Line 2:

City:

Prov:

Postal Code:

Name of Parent/Guardian:

Email:

Telephone:

Name of Camp Session Interested in Attending:

Camp #:

Dates of Camp:

Cost of Camp:

Are you a Member or Attendant of a Church?
    Yes    No

Name and Address of Church:

Name of Pastor:

Is There Any Possibility of Financial Assistance from Other Sources?
    Yes    No

Please Comment:

How Much Can You Afford to Pay?

How Much Assistance Do You Need?

Please note: Cairn may pay up to half of the cost of fees.

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