Application for Summer Camp Financial Assistance

Camper Information

Girl Name*
Are you a current Girl Scout member?*
Address*
Parent/Guardian Name*
This number can be found in your camp registration confirmation email.
Summer Camp*
STEM Center Choice

More Information

Did she participate in the most recent Girl Scout Cookie Program?*
Participates in Girl Scouts*
Please indicate the total family income*
Has this member received financial assistance from GSNETX during the last 12 months?*

Award Amount

Based on the information provided, your request for financial assistance has been approved at the percentage below, less the $100 deposit.

Use your mouse or finger to draw your signature above
Progress
Powered by Formstack Create your own form