Joy Davis Campership Fund Request

This form is for Local Church Pastors to request a grant from the Joy Davis Campership Fund for camp participants.

Camper's Name*
First Last
NCNC-UCC Local Church*
Pastor's Name*
First Last
Pastor's Email*
Affirmation*
This camper/camper's family has spoken with me regarding a need for financial assistance, and I affirm their request of a grant from the Joy Davis Campership Fund.
I affirm.
Pastor's Signature*