Campership Form – Rockhaven Camp and Retreat Center

Campership Request Form

Rockhaven's Campership Policy

We believe that every child should have the opportunity to attend summer camp. Rockhaven and First Presbyterian Church have established a Camper Scholarship Fund (Campership) for the purpose of providing assistance to those who would not otherwise be able to attend Rockhaven's Summer Camp Program. Gifts towards the Campership Fund come from members of First Presbyterian Church and other thoughtful individuals who recognize the valuable impact of Rockhaven on campers. If you need financial assistance in order to send a family member to summer camp, please complete the below form. Upon submission, the Rockhaven Camp Director will contact you to complete the process. Please email the Camp Director at [email protected] with any questions or concerns.

Guardian Name

Camper(s) Name

Street Address

Email Address

Phone Number

Camp session(s) of interest

If you would like to share your circumstances, you are welcome to below. Camperships are a "no questions asked" opportunity, therefore you will receive assistance whether you provide additional information or not.

Have you received campership assistance from Rockhaven before?

Yes No

Digital Signature of Applicant (Guardian over the age of 18)

Additional Message (optional)

Today's Date