Max and Marion Caldwell Foundation
Campership Application

Application Deadline: February 15th (Kennolyn’s two Overnight Camps) & April 15th (Kennolyn’s Day Camp)

1 Camper Information

2 Application Questions

Camper's Name
First*
Middle
Last*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Camper's Date of Birth*
Please note age restrictions for scholarships.
Gender*
- Male
- Female
Grade in School This Year*
Who does camper live with?*
Lives with other:*
Parents are:
Parents other:*
Mother/Stepmother/Guardian Name*
First Last
Mother/Stepmother/Guardian Phone Number*
Father/Stepfather/Guardian Name*
First Last
Father/Stepfather/Guardian Name Phone Number*
Alternate Parent/Guardian Address if not the same as camper
Street Address Address Line 2 City State ZIP Code
Name of Sibling 1
Birthdate of Sibling 1
Name of Sibling 2
Birthdate of Sibling 2
Name of Sibling 3
Birthdate of Sibling 3
The Max and Marion Caldwell Foundation camperships are a cooperative effort between the Foundation, the participating camps and the camper's family. The Foundation believes that by asking the family to participate financially, each partner is investing in the future of the selected camper.

Check all the camperships you are interested in and qualify for.

Kennolyn Overnight Camperships

Pays for 80% of the tuition for a child to attend Kennolyn's Resident Camp for 3 consecutive summers if he/she meets behavior and scholastic requirements each year. The applicant must be 6-10 years old.
- 2 week session (3 consecutive summers)
Pays 80% of the tuition for a child to attend Kennolyn's Resident Camp for 1 summer. The applicant can be 6-14 years old.
- 1 week session (1 summer)
- 2 week session (1 summer)
- Pays 50% of the tuition for a child to attend Kennolyn's Resident Camp for a two-week session. The applicant can be 6-15 years old.
Kennolyn Day Camperships
- Pays 80% of the tuition for a child to attend Kennolyn's Day Camp for 1 summer. The applicant can be 4-12 years old.
(transportation provided within Santa Cruz County and Los Gatos)
References

Campership applicants must submit 3 references
Name of First Reference*
First Last
Relationship*
Phone Number*
Email Address*
Enter Email Confirm Email
Name of Second Reference*
First Last
Relationship*
Phone Number*
Email Address*
Enter Email Confirm Email
Name of Third Reference*
First Last
Relationship*
Phone Number*
Email Address*
Enter Email Confirm Email
Signature Approval*
- By checking this box and typing my name below, I am electronically signing this form.
Signature*
* Indicates response required

Camper's Application Questions
Applicant Name*
Contact Email*
Enter Email Confirm Email
Please respond to the following questions:
Why would you like to go to camp?*
How would you describe yourself?*
What do you like most about school and why?*
What is the most difficult thing you have ever had to do?*
Who is the person you most look up to, and why?*
Camper's Signature*
Parent/Guardian, please respond to the following questions:
What is your family circumstance that might qualify you to apply for a campership?*
Why do you feel a camp experience would help your child?*
Financial Responsibility Parent/Guardian to complete
Current gross income:*
Income or support from all other sources:*
The Max and Marion Caldwell Foundation shall not be liable, nor held responsible for any injury, death, loss or damage to any person or property associated with the default of any person, company, or association providing accomodation or transportation connected with the Campership.
By signing below, I agree to pay 20% of the camp's current year's tuition. I realize this campership is only for tuition and I will pay for all travel and incidental costs.

By signing below, I give permission to the Max and Marion Caldwell Foundation and related camps to use my child's letters, application, name and photo. Signature of Parent(s)/Guardian(s):
Signature Approval*
- By checking this box and typing my name below, I am electronically signing this form.
Signature*
Signature Date*
How did you hear about the Max and Marion Caldwell Foundation?*
Accepted file types: pdf, doc, docx
Please attach or send a copy of your child's most recent Report Card
Accepted file types: pdf, doc, docx, jpg.
Accepted file types: pdf, doc, docx
* Indicates response required

Max and Marion Caldwell Foundation Campership Application

Kennolyn Overnight Camperships

Kennolyn Day Camperships

References

Max and Marion Caldwell Foundation
Campership Application