Volunteer Run Camp Financial Aid Reimbursement Request Form

This form is only for Volunteer Run Camp Admin to complete. This form is collecting information for Financial Aid Reimbursement to the individual camp. Please refer to the FY24 Financial Aid packet for detailed instructions. Financial Aid may only be requested after camp has been completed for the summer. Please expect reimbursement 4-6 weeks after completing this form. If you are having any issues please contact volunteercamps@gsnorcal.org

Contact Information

Volunteer Run Camp: *

Person Completing Form: *

Phone #: *

Email: *

Confirm: *

Make Check Payable to: *

Mail Check to (address): *

City: *

State: *

Zip Code: *

Financial Aid Camp Questions

All campers listed on the attached form have attended their camp session? *

Yes

No

All campers listed on the attached form are registered Girl Scouts and members of Girl Scouts of Northern California? *

Yes

No

Number of Campers requesting Financial Aid for: *

County or Counties Campers are From: *

Total Amount of Financial Aid Requested: *

Financial Aid Reimbursement Worksheet Upload

This form can be the worksheet form or your own form but must include Camper Full Name, Parent Full Name, Email, Phone Number, Household Income, Number in the Household, Cost of Session, Amount qualified for, Amount granted, Verified Girl Scout membership:

Information Confirmation

*

All information submitted on this form is correct and accurate to the best of our abilities.

Electronic Signature: By typing my name on this form, I am entering my "electronic signature" (as defined in The California Uniform Electronic Transactions Act 1633.1 - 1633.17) and certifying that I have read, fully understand and accept all terms of this agreement.
Please type your full name here: *

Published February 26, 2024

* Please Note: Once you submit this form, you'll have the option to print the form contents on the following page.