Responsibility of Parent/Guardian:

Register child for camp you have chosen
Pay registration fee, if possible
Request amount needed below
Transport your child to and from the camp - please take careful note of times when you may drop off your child at camp and pick up your child from camp.

Please submit this form by May 1st and you will be contacted by a member of the CE Board by May 20th with our decision regarding your request for financial assistance. If approved, you will be provided with a voucher for your child’s camp fees to present upon arrival at Camp Wildwood. Have a great summer!!

Parent's Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Name

First Name

Last Name

Name of Camp Attending and Dates

Amount of Assistance Requested

$

Amount You will Pay

$

Camp Wildwood financial assistance application