Campership Application – Camp Io-Dis-E-Ca

Summer camp scholarships, or "Camperships." are intended to subsidize the cost of camp for children requiring financial assistance to make attending summer camp a reality. Please also ask your local congregation for any help they may be able to give as many congregations help to pay summer camp fees.

Parent Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Home Congregation

City

How many campers are you requesting assistance for?(Required)

Camper 1(Required)

First Last

Gender(Required)

Camper 1 DOB(Required)

Camper 1 age (today)(Required)

Camper 1 Grade (Fall 2026)(Required)

Camper 2

First Last

Gender

Camper 2 DOB

Camper 2 Age (today)

Camper 2 Grade (Fall 2026)

Camper 3

First Last

Gender

Camper 3 DOB

Camper 3 Age (today)

Camper 3 Grade (Fall 2026)

Camper 4

First Last

Gender

Camper 4 DOB

Camper 4 Age (today)

Camper 4 Grade (Fall 2026)

My Camper(s) is(are):

Registered. I have paid the $75 deposit.

Not Registered. I have not paid the $75 deposit. (For campers that are not yet registered, if a Campership is awarded, the funds will be reserved for 2 weeks to allow for the registration to be completed and $75 deposit to be paid. 2 weeks following the Campership award, if the camper is not registered and/or the $75 deposit is not paid, the campership funds will be released to another camper. The parent will need to reapply for assistance.)

Dollar amount of request per camper (Camperships are generally limited to 50% of registrations fees)(Required)

In some circumstances, a reference may be needed to grant your request. Please provide the contact information for one personal reference.(Required)

First Last

Reference email:(Required)

Reference Phone Number:(Required)

Please explain the specific situation and reason for the financial aid request below.(Required)