Pay Their Way Subsidy Program

Sponsorship Request Form

It is our goal to ensure that the cost of camp is not the reason that any camper would not be able to attend Camp Mishewah. If none of the 3 tiers of pricing are affordable for you, please fill in the information below.

Our hope is that each family would pay what they can to help us extend financial assistance to as many families as possible. The following application helps us be accountable to donors and government regulations. The information collected is considered completely private and is only collected to determine need and provide accountability.

It is our general expectation that each family would be able to pay a minimum of $150 per camper. This amount is one that a camper can even earn or raise themselves, and gives significant value to their week at camp. In cases of greater need, higher subsidy can be granted.

Please Note: Financial assistance is limited to one camp session per camper.

Camper Information(Required)

If you are requesting sponsorship for more than one camper, please use the plus sign on the right to add a row for each child

First Name

Last Name

Week Attending Camp

Parent / Guardian Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Home Address Information(Required)

Street Address Address Line 2 City Province Postal Code

Home Phone(Required)

Cell Phone

Annual Family Income(Required)

You may be asked to provide a notice of assessment to verify your income.

How much can you afford to pay? (per child)

Why are you seeking financial sponsorship?

Would a payment plan be of assistance?

Yes

Reference Name(Required)

Please provide the name and contact information for a person who would serve as a reference and may be contacted.

Reference Phone Number(Required)

Reference Email Address(Required)

Additional Information

Acknowledgement

By submitting this form, I certify that the information provided on this form is true and complete to the best of my knowledge, and that I have provided all the appropriate paperwork to verify the information. I understand that this application is not considered a guarantee of financial assistance, and that incorrect or incomplete information can result in delay or disqualification of this application. I agree to inform Evergreen Christian Ministries of any changes in my financial status.

Please Note:

• Financial assistance limited to one camp session per camper.

• Assistance is awarded based on availability of subsidy funds, demonstration of family need, and availability of spaces in the session requested.

Sponsorship Request Form

Acknowledgement

Member of:

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