GSOC Campership Application
Every camper should have the opportunity to attend camp, regardless of their financial situation. Camperships are specific for those Girl Scouts that are registered with a current GSOC membership. In order to secure your campers spot, please make sure that the deposit has been paid for the desired camp session. Please fill out the campership completely, incomplete campership applications may result in a delay of processing and consideration. Camperships are not guaranteed to cover the full amount. Any remaining balance after financial assistance is awarded must be paid in full by the registration deadline for that specific camp to attend.
Please select the camp program for assistance
Camp Scherman Summer Sleepaway Camp
Camp Scherman Weekend Camp
GSOC Day Camp
Campers Full Name
Parent/Guardian's Full Name
State / Province / Region
Postal / Zip Code
Campers Current Grade
Is camper currently a registered member of Girl Scouts of Orange County?
Troop Number If your camper is a Juliette please write Juliette
Campers date of birth
Program camper is registered for
Session camper is registered for
GSOC Day Camp
Dates of camp session
Number in household
# of children registered Girl Scouts
Family’s household total annual income from all sources: (All information is CONFIDENTIAL and
must be filled out completely to be considered.
$10,001 - 20,000
$20,001 - 30,000
$30,001 - 40,000
$40,001 - 50,000
$50,001 - $60,000
$60,001 - 70,000
$70,001 - 80,000
$80,001 - 90,000
$90,001 or above
A. Cost of the camp session*
B. Contribution Breakdown
Amount from family
Cookie Dough/OC Bucks
Other earnings from Girl Scout
C. Balance Due
Balance Due (subtract B from A ):
Amount requested from Campership:
Has the Girl Scout participated in the Girl Scout Cookie Program or Fall Sales event?
Has the Girl Scout received a Campership before?
Amount and date
What specific conditions exist in your family that makes financial assistance necessary (i.e., unusual medical expenses, unemployment, illness, etc?
How will the camper benefit from this experience?