Foundation Free Camps Application

Group Information
Name of Group:(required)
Address:(required)
City:(required)
State:(required)
Zip:(required)
Phone:(required)
Fax:(required)
Parent Organization Information
Legal Name:(required)
Address:(required)
City:(required)
State:(required)
Zip:(required)
Phone:(required)
Website:
Is your organization nonprofit?
Mission Statement of your Organization:(required)
Retreat Information
What is the purpose of your proposed retreat?(required)
List dates that you would like to have your retreat:(required)
Expected number of attendees by category:
Children
(0-11):(required)
Youth (12-18):(required)
College:(required)
Adult:(required)
Seniors:(required)
Total:(required)
In order to honor our mission and to be good stewards on behalf of our contributors, please indicate approximately what percentage of the campers in your group might not be able to attend camp if our free facilities were not available.
Percentage:
Individual Filling Out Form
First Name:(required)
Last Name(required)
Title/position with the above group/organization:
Address:(required)
City:(required)
State:(required)
Zip:(required)
Email:(valid email required)
Fax:
Home Phone:
Work Phone:
Cell Phone:
Comments or Questions: