Financial Aid Application

Fields marked with an* are required.

Camper's First Name*

Camper's Last Name*

Birth Date

Age

Gender

Male
Female

Street Address

City

State

Zip Code

Country

Parent 1

Parent First Name*

Parent Last Name*

Email*

Phone

Occupation

Employer

Parent 2

Parent 2 First Name*

Parent 2 Last Name*

Email*

Phone

Occupation

Employer

Questions

How did you hear about Kingsley Pines?

Program you are requesting aid for.*

Session 1
Session 2
Session 3

If parents are separated or divorced, who has legal custody.

Mother
Father
Both

What is your total household income?*

What is your monthly mortgage or rent payment?*

How much can you contribute to your child's camp tuition?*

(The minimum contribution expected from a family is $2,500 for a 2 week session, and $3,300 for a three week session)

Please briefly describe your family’s financial situation (both parents) including income, children being supported in college, employment information and any other factors that can help us make a decision concerning financial aid.

Please tell us about your child and why he/she wants to attend Kingsley Pines Camp.

By electronically submitting this form you certify that all the information provided is true and consent to Kingsley Pines Camp representatives confirming the information contained in this application.

Phone

This field is for validation purposes and should be left unchanged.

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