Campership

Amangamek-Wipit Campership

Amangamek-Wipit Lodge Campership Application

*All informations is confidential and is not disclosed to other parties than those of the approval process.*

* Indicates required field

Scout First and Last Name *

First

Last

Parents/Guardians Name *

First

Last

Unit Troop/Team/Crew *

District/Chapter *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Requested OA Event *

If OA High Adventure *

Applicants Statement

Please provide the Lodge with an explanation of your need for a scholarship to attend the following OA event ________________________________. In your explanation, please indicate how much you can pay toward the fee, and how much scholarship funding you are requesting. (You may use additional sheets if necessary, and simply enter ‘see attached’ below if you wish to prepare your statement separately.)

Response *

Check To Agree To Terms *

I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for benefits.

Parent/Gardian Approval *

I hereby certify that my child's information is correct and true. I understand that a false statement may disqualify my child from these benefits.

Submit

awl_campership_form.pdf
File Size:	87 kb
File Type:	pdf

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Contact at - lodgeadviser@wipit470.org