BCFFPA CAMPS FOR KIDS

APPLICATION FOR CAMP FUNDS FORM

 

CONFIDENTIAL – FOR BCFFPA USE ONLY 

 

Name of Foster Parent Member: ___________________________________________________________

 

Address: __________________________________________________________ P/C: _______________

 

Telephone: ________________ Fax: ____________________ E-Mail: _________________________

 

BCFFPA Membership Number: ______________ Member since: ________________________________

 

Name of Child: __________________________ Age: _____ Relationship: ________________________

 

Name of Camp: ____________________________________ Dates:  ______________ to ____________

 

Address: _____________________________________________________________________________

 

Type of Camp: (circle one)                overnight               day         sports                     outward bound        other

 

Activities covered: _____________________________________________________________________

 

_____________________________________________________________________________________

 

Supervision:  (circle one) Parent participation               staff        coach     other (explain) _______________

 

Social Worker Authorized:  yes ____ no _____

 

Name of Social Worker: ___________________________ Office: _______________________________

 

Deposit Paid yes: ____ no: ____ (please attach a copy of receipt) Full Cost of Camp _________________