Youth Subsidy Application Form • First Baptist Church, Guelph

First Name *

Last Name *

Preferred Pronouns *

Date of Birth *

School Grade *

Name of the camp/event/mission trip attending *

Start Date *

End Date *

How is the applicant participating? (i.e. camper, leader) *

What will they be doing? Description of the role. *

What do you hope your child will take from this experience? *

Total cost of the camp/event/mission trip *

Subsidy amount desired *

When is it needed by?

Have you applied for a subsidy from somewhere else? *

If yes to the above question, where else have you applied?

Parent/Guardian Name(s) *

Home Address *

Home City *

Home Postal Code *

Phone Number

Email Address *

I am supportive of this experience for my child *