Fillable Campership Request Form

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Campership Request Form

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The Campership Request Form form is 2 pages long and contains:

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This Form is only valid for the current Boy Scout Summer Camp season
Revised: 1/2020
Campership Request Form
Instruction:
This application is to be used for ALL WLACC events where Camperships are applicable.
• COMPLETE page two of this request form.
o If information is missing this may result in the request being delayed.
• Return page two of this form to:
o Mail: Camping Department Western Los Angeles County Council; BSA
16525 Sherman Way Unit C-8 Van Nuys, CA 91406.
▪ Checks can be made out to WLACC-BSA
o Fax: 818-901-4887
o Email: camping@bsa-la.org
o Returning this form early provides the best opportunity for us to meet the
request, please submit applications by the Second Friday in February.
o Please be aware that funds are awarded on a periodic basis.
A campership fund has been established by WLACC to ensure Scouts have the
opportunity to participate in Summer Camp. Camperships are awarded based on
individual financial need.
o TO BE WRITTEN BY PARENT OR GUARDIAN ______ I have enclosed
a description of extenuating financial considerations that are pertinent to
this application for a campership
To help ensure the future of camp scholarships we kindly request Scouts share their
wonderful experience with donors by:
• Provide 1 digital picture or 1 short video of Scouting fun. To ensure proper credit,
make sure photos are titled: UNIT#,Camp Name, Campership, Year. Example.
Troop10.EB.Camership.2018
o Please email content to: camping@bsa-la.org
This Form is only valid for the current Boy Scout Summer Camp season
Revised: 1/2020
CAMPERSHIP REQUEST FORM
Camp attending (Circle one): Emerald Bay Whitsett Josepho Day Camp Date/ Week Attending:
Unit Number: Registration # (Must complete):
District: Council:
*Ethnicity: A- Asian B- Black H- Hispanic N- Native American W- White O- Other
Legal Name
(Please DO NOT use
nicknames)
D.O.B.
BSA ID
Ethnicity
Amount
Requested
Dependent of Military
Household Y/N
*if YES, indicate which
branch
1.
2.
3.
4.
5.
6.
7.
8.
Unit Leader Signature: Date:
Unit Leader Phone: Unit Leader Email:
District Executive Approval: Date:
District Commissioner Approval: Date:
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Campership Request Form

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Completed 16 December 2021

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