Kids-N-Camp Fund

All information must be filled in for the application to be considered.

If any drop down does not have the selection you need pick 'Enter Manually' and type in the correct information.
Please fill out one for each child.
Filling out an application does not guarantee funding.

If you do not fill out the application based upon the rules - the application will be denied.

If any information is not entered correctly the entire application will be automatically rejected.

Apply as soon as possible there are only a limited amount of applications that can be reviewed.

Kids N Camp Fund is designated for children 9 -16.

Child/Family Information

Last Name*

First Name*

Age*

Grade*

Father’s Name*

Mother’s Name*

Home Address*

City*

Zip*

State*

Phone Number*

Cell Number

Email*

Shul Affiliation*

Rav Name*

Rav Phone Number*

Yeshiva/School child attends*

Rebbi/Teacher Name*

Cell Number*

Menahel/Principal Name*

Cell Number*

Number of unmarried children*

Number of children looking to go to camp*

Where is family for the summer first half*

Where is the family for the summer second half*

Camp Information

Name of sleepaway camp first half

Name of day camp first half

Official Camp Name to make check out to first half*

Camp Director Name first half*

Camp Director Phone Number first half*

Total Projected Cost of camp first half*

Are you receiving any discount from the camp?*

Yes No

How much

Name of sleepaway camp 2nd half

Name of day camp 2nd half

Official Camp Name to make check out to second half*

Camp Director Name second Half*

Camp Director Phone Number second half*

Total Projected Cost of camp second half*

Are you receiving any discount from the camp?*

Yes No

How much

Any financial aid from other organizations?*

Did you receive funding from Kids-n-Camp Fund in the past?*

Yes No

The Camp Fund's mission is to help those children who will not be able to go to camp/day camp without our assistance.
I affirm that all funds are needed?*

Yes No

Any extenuating circumstances we should be aware of?

Reference name can not be any other name used in this application or family member
They must be 2 different people.
If references do not follow these rules the entire application will be automatically rejected.

Reference Name*

Cell Number*

Reference Name*

Cell Number*

I understand that if this applicant receives Youth Corp funding the money will be returned to the fund.

All information must be filled in for the application to be considered.

If any drop down does not have the selection you need pick 'Enter Manually' and type in the correct information.
Please fill out one for each child.
Filling out an application does not guarantee funding.

Child/Family Information

Camp Information

If you don't receive email for each child confirming receipt of application, application was not received.

Please do not fill out more than one application per child.

All information must be filled in for the application to be considered.

If any drop down does not have the selection you need pick 'Enter Manually' and type in the correct information. Please fill out one for each child. Filling out an application does not guarantee funding.

Child/Family Information

Camp Information

If you don't receive email for each child confirming receipt of application, application was not received.

Please do not fill out more than one application per child.

If any drop down does not have the selection you need pick 'Enter Manually' and type in the correct information.
Please fill out one for each child.
Filling out an application does not guarantee funding.