Camp Fund Application for children residing in Grafton County

The Douglas DiCenzo Camp Fund supports families by providing partial scholarships for kids to go to camps/programs/activities. If you would like to apply for assistance from the Fund, please fill out the form below and submit it. You can also download the form and send it to:

Captain Douglas DiCenzo Camp Fund
27 Deacon Willey Rd
Campton, NH 03223

Please fill out the form below. There are no deadlines for inquiries. After we receive your information, a representative from the Fund will be in touch through e-mail to discuss additional details. All Camp Fund recipients are expected to write a "thank you" to the scholarship committee.

Parent's Name

First Name

Last Name

Child's Name and Age

First Name

Last Name

Parent Phone Number

(###)

###

####

Parent Email Address

Name and Address of Camp or Program we will send the check to. Please include Troop/Group numbers or Camp Program ID number.

Is the child attending any other camps or progrms this summer?

Total cost of camp or program?

What portion of the fee can you contribute?

What school does the child attend?

Any information you would like to share about the applicant?