First Name *

Last Name *

Camper Name(s) *

Email *

Phone *

Preferred Method of Contact * Phone Email Text

Is this your FIRST TIME attending Camp David? * Yes No

How many years have you attended Camp David? 1 year 2 years 3 years 4+ years

Have you ever received a Camp David Scholarship? * Yes No

How many people in your family will be attending Camp this year? *

How many people in your family do you require a scholarship for? *

In the past 12 months, which David's Table Programs have you attended? *

Approximately how many David's Table events has your family attended in the past 12 months? *

Have you formed relationships through David's Table or Camp David? * Yes Not yet

Why would attending Camp David be meaingful for your family this year? *

What impact do you hope Camp David will have on you and/or your family? *

Please describe any financial, emotional, spiritual, or family circumstances we should consider when reviewing your application. *

Marital Status * Married Single

Number of adults in your household: *

Number of children in your household: *

Approximate Total Monthly Household Income *

Approximate Total Monthly Household Expenses: *

How much is your family able to contribute toward Camp Registration? *

Please share any additional circumstances that help explain your need for scholarship assistance this year. Examples might include unexpected medical expenses, job loss, vehicle repairs etc.

I affirm the information provided is accurate *

Date Submitted *