JAke’s Fund CAmpership Application. Applicants Information: Please complete YOUR (the applicant) information below! Name * First Name Last Name Email * Camper Information: Please complete the below info about the camper(s) this application is being submitted for: Name First Name Last Name Birthdate MM DD YYYY Please share with us how support from the JAKE'S FUND will benefit the above camper(s). Make sure to include any additional information we should know about your current circumstances. * This application does not serve as acceptance to the campership program. Upon application reviews, recipients will be contacted and given further details regarding registration and payment process. Up to 75% of registration fee available. Maximum assistance = two weeks Contribution What type of financial assistance are you asking the JAKE'S FUND to contribute. Please check the appropriate box: 75% of Registration (Your contribution = $65) 50% of Registration (Your contribution = $125) 25% of Registration (Your contribution = $190) Thank you!We will be in touch soon. :)