Non-Member Campership Application
Non 4-H member

NAME:____________________________________________________ AGE:_______________

DOB:________________ GENDER: M ____ F ____

ADDRESS: _____________________________________________________

CITY / STATE / ZIP:_____________________________________________

MAILING ADDRESS (if different from above)

______________________________________________________________________________

HOME PHONE:______________________________

EMERGENCY (1)______________________________ (2)_______________________________

 I am applying to:

Camp Marshall _____ Horse Camp _____ Horse Lover Camp _____Week Number(s)_______________________

For consideration, you must submit a letter of recommendation from your clergy member, police department,
parent, etc... Include a statement of financial need.

Please return this with a letter written by campers in his/her own words and handwriting,
"Why I want to go to camp" (50 words) and why you are applying for a campership.

Send to:

Worcester County 4-H Center
Camp Marshall
92 McCormick Road
Spencer, MA 01562

If any tuition balance remains after campership, parent / guardian will be responsible for the balance owed
and to be paid in full no later than registration day of the week of camp you plan to attend.

___________________________________________________ (Applicant’s Signature) ___________________________________________________ (Parent / Guardian Signature)

 Due date for all camperships is on or before April 1