Application for campers subsidy                                         

                                        Family Name:                                                           .

                                        Home Church:                                                           .

                                        Address:                                                                                                                          .

                                        Telephone(   )                         . 

                                        City / town:                                                                                                                     .

                                        Postal code:                         .

                                        Applicants Name:                                            Camp                                                       .

                                          Church Recommendation; Partial Subsidy                           / Full Subsidy                      .

                                           Comments:

                                         Recommended by:                                                                             .

                                          Signature:                                                                                          .

          Complete this form, attach to camper registration form,and send to:

          Pine Lake Christian Camp

          Box 41

          Pine lake, Ab.

          T0M 1S0     

This application will be treated as "Confidential" once completed.

All applications need to be in by June 1

 You will be contacted by June 15 with the Board's decision.