CAMP ADAMS CAMPERSHIP FUND

Camp Adams has access to camperships this year from the Sarah Bishop Memorial Fund.  This is a dedicated fund, only for Camp Adams.

We are able to offer a 1/3 campership to campers who are in NEED, funds are limited.  If a camper needs a campership please print and complete this form.  Mail or fax it to the Conference office.

Central Pacific Conference, UCC
0245  SW Bancroft st, Suite E
Portland, OR 97239                                    Fax # 503-228-6983

Campers Name_______________________________________________

Grade completed at the start of camp______________________________

Request is for 1/3 campership from the Sarah Bishop Memorial Fund.  The

remaining 2/3 will be paid by_____________________________________

Name of local Church___________________________________________

Pastors Name________________________________________________

Pastors Signature_____________________________________________

All Campership requests must be received by May 25, 2012

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