Campership We strive to ensure that every Girl Scout who needs financial assistance will receive it, while doing our best to use resources wisely. For camp attendance, this is offered through Campership scholarships. Campership scholarship requests are processed on a first-come, first-served basis and may take up to two weeks to be processed. Only one application may be completed per camper. Have you previously reserved a space at a day or overnight camp for a 2023 camp?* Yes No Not Sure If you have reserved a space and you receive a campership, you will NOT receive a refund for the space you reserved. All deposits are non-refundable and non-transferable. Would you still like to continue with this application? Yes No You may now close this window. Unique IDIs the camper “out of council” (not with GSGLA)?* Yes No Campers that are considered "out of council" are not eligible to apply for campership assistance with Girl Scouts of Greater Los Angeles. Please contact your council for potential campership programs that they may offer.Camper InformationCamper's Name:* First Last Parent/Guardian Name:* First Last Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Working Phone:*Email:* Enter Email Confirm Email What grade will the camper be entering in the 2023/2024 school year?*Kinder1st2nd3rd4th5th6th7th8th9th10th11th12thN/A - AdultIs the camper a currently registered Girl Scout member?* Yes No Not sure Have you previously received Campership assistance from GSGLA?* Yes No Not Sure How many years of Campership assistance have you previously received?*Please enter a number greater than or equal to 1.For which of these did you receive Campership previously? Day Camp Overnight Camp Both Assistance RequestedEach individual Girl Scout may apply for one of the following options: one overnight camp, one specialty camp or two day-camp sessions. If applying for two day-camp sessions, a separate application will need to be submitted for each. Please note - camp sessions that are at capacity will not be listed. If the camp you are looking for is not listed, please select another option.For which are you applying?*El Ranchito Day CampInglewood Innovation Center Day CampLa Casita Day CampMarine Landing Day CampMariposa Day CampLakota Overnight CampCamp options are in the following format: Session/ Camp Name/ Grade Levels/ Dates/ CostHiddenEl RanchitoNote - this section lists camps for grade levels K-6. Please be sure to select a camp that matches the campers grade level.El Ranchito Grades K-6 Options*El Ranchito / Session 1 / Color Me Crazy / Grades K-3 / 6.12.2023 - 6.16.2023 / $250El Ranchito / Session 1 / Color Me Crazy / Grades 4-6 / 6.12.2023 - 6.16.2023 / $260El Ranchito / Session 2 / Once Upon a Camp / Grades K-6 / 6.19.2023 - 6.23.2023 / $250El Ranchito / Session 3 / Dream Team / Grades K-3 / 6.26.2023 - 6.30.2023 / $250El Ranchito / Session 3 / Dream Team / Grades 4-6 / 6.26.2023 - 6.30.2023 / $260El Ranchito / Session 4 / In It to Win It / Grades K-6 / 7.3.2023 - 7.7.2023 / $200El Ranchito / Session 5 / El Ranchito Survivor Extreme / Grades K-3 / 7.10.2023 - 7.14.2023 / $250El Ranchito / Session 5 / El Ranchito Survivor Extreme / Grades 4-6 / 7.10.2023 - 7.14.2023 / $260El Ranchito / Session 6 / Pass the Plate / Grades K-6 / 7.17.2023 - 7.21.2023 / $250El Ranchito / Session 8 / Broadway Bound / Grades K-6 / 7.31.2023 - 8.4.2023 / $250El Ranchito / Session 9 / Camp Forever / Grades K-6 / 8.7.2023 - 8.11.2023 / $250El Ranchito Program Aide (Grades 7-8) Options*El Ranchito / Session 1 / Program Aide: Color Me Crazy / Grades 7-8 / 6.12.2023 - 6.16.2023 / $80El Ranchito / Session 3 / Program Aide: Dream Team / Grades 7-8 / 6.26.2023 - 6.30.2023 / $80El Ranchito / Session 4 / Program Aide: In It to Win It / Grades 7-8 / 7.3.2023 - 7.7.2023 / $64El Ranchito / Session 9 / Program Aide: Camp Forever / Grades 7-8 / 8.7.2023 - 8.11.2023 / $80El Ranchito CIT (Grades 9-12) Option*For campers in grade levels 9-12, please select the CIT program.El Ranchito/ All Sessions/ CIT/ Grades 9-12/ 6.12.2023 - 8.11.2023/ $325HiddenInglewood Innovation CenterAt this time, the Inglewood Innovation Center does not have options for grade levels 7-12. Please select another camp.Inglewood Options*Inglewood Innovation Center / Session 1 / Camp Make-it / Grades K-3 / 6.12.2023 - 6.16.2023 / $260Inglewood Innovation Center / Session 2 / Camp Investigate / Grades 4-6 / 6.19.2023 - 6.23.2023 / $260HiddenLa CasitaLa Casita Grades K-6 Options*La Casita / Session 1 / Back to Basics - GS Traditions / Grades K-6 / 6.19.2023 - 6.23.2023 / $250La Casita / Session 3 / Superheroes at Camp / Grades K-6 / 7.3.2023 - 7.7.2023 / $200La Casita / Session 4 / Let's Go Green / Grades K-6 / 7.10.2023 - 7.14.2023 / $250La Casita / Session 6 / Around the World in 5 Days / Grades K-6 / 7.24.2023 - 7.28.2023 / $250La Casita / Session 7 / Heroes, Legends, and You / Grades K-6 / 7.31.2023 - 8.4.2023 / $250La Casita / Session 8 / Sail the Seven Seas / Grades K-6 / 8.7.2023 - 8.11.2023 / $250La Casita / Session 9 / The Mystery at La Casita / Grades K-6 / 8.14.2023 - 8.18.2023 / $250La Casita Program Aide (Grades 7-8) Options*La Casita / Session 1 / Program Aide: Back to Basics - GS Traditions / Grades 7-8 / 6.19.2023 - 6.23.2023 / $80La Casita / Session 3 / Program Aide: Superheroes at Camp / Grades K-8 / 7.3.2023 - 7.7.2023 / $64La Casita / Session 4 / Program Aide: Let's Go Green / Grades 7-8 / 7.10.2023 - 7.14.2023 / $80La Casita / Session 5 / Program Aide: Splash of Color / Grades 7-8 / 7.17.2023 - 7.21.2023 / $80La Casita / Session 6 / Program Aide: Around the World in 5 Days / Grades 7-8 / 7.24.2023 - 7.28.2023 / $80La Casita / Session 7 / Program Aide: Heroes, Legends, and You / Grades 7-8 / 7.31.2023 - 8.4.2023 / $80La Casita / Session 8 / Program Aide: Sail the Seven Seas / Grades 7-8 / 8.7.2023 - 8.11.2023 / $80La Casita / Session 9 / Program Aide: The Mystery at La Casita / Grades 7-8 / 8.14.2023 - 8.18.2023 / $80La Casita CIT (Grades 9-12) Option*For campers in grade levels 9-12, please select the CIT program.La Casita / All Sessions / CIT / Grades 9-12 / 6.19.2023-8.18.2023 / $325HiddenMarine LandingMarine Landing Grades K-3 Options*Marine Landing Grades 4-8 Options*Marine Landing CIT (Grades 9-12) Option*For campers in grade levels 9-12, please select the CIT program.Marine Landing / All Sessions / CIT / Grades 9-12 / 6.12.2023-8.11.2023 / $325HiddenMariposaMariposa Grades K-6 Options*Mariposa Program Aide (Grades 7-8) Options*Mariposa / Session 5 / Program Aide: Going on a Bear Hunt / Grades 7-8 / 7.3.2023 - 7.7.2023 / $64Mariposa / Session 6 / Program Aide: Ground Control to Juliette Low / Grades 7-8 / 7.10.2023 - 7.14.2023 / $80Mariposa / Session 7 / Program Aide: Up, Up, and Away! / Grades 7-8 / 7.17.2023 - 7.21.023 / $80Mariposa CIT (Grades 9-12) Option*For campers in grade levels 9-12, please select the CIT program.Mariposa / All Sessions / CIT / Grades 9-12 / 6.5.2023-8.4.2023 / $325HiddenLakotaThose campers at a Kindergarten grade level may only attend overnight camp with a family or troop. Please choose one of these options.Which Lakota option?* Into the Pines - Traditional (Grades 2-5) Adventure Bound - Traditional (Grades 6-8) Night Crawlers - Traditional (Grades 9-12) Slice of Camp - Three Day Camp (Grades 1-12) Take the Reins - Equestrian (Grades 2-5) Saddle Up - Equestrian (Grades 6-8) CIT 1 /CIT 2/ WIT (Grades 9-12) Family Camp (All Grade Levels) Troop Camp (All Grade Levels) Lakota Selection - Traditional (Grades 2-5)*Camp Lakota: Traditional / Session 2 / Into the Pines / Grades 2-5 / 6.26.2023 - 6.30.2023 / $945Camp Lakota: Traditional / Session 3 / Into the Pines/ Grades 2-5 / 7.3.2023 - 7.7.2023 / $945Camp Lakota: Traditional / Session 4 / Into the Pines / Grades 2-5 / 7.10.2023 - 7.14.2023 / $945Camp Lakota: Traditional / Session 5 / Into the Pines / Grades 2-5 /7.17.2023 - 7.21.2023 / $945Camp Lakota: Traditional / Session 6 / Into the Pines /Grades 2-5 / 7.24.2023 - 7.28.2023 / $945Lakota Selection - Traditional (Grades 6-8)*Camp Lakota: Traditional / Session 1 / Adventure Bound / Grades 6-8 / 6.19.2023 - 6.23.2023 / $945Camp Lakota: Traditional / Session 2 / Adventure Bound / Grades 6-8 / 6.26.2023 - 6.30.2023 / $945Camp Lakota: Traditional / Session 3 / Adventure Bound / Grades 6-8 / 7.3.2023 - 7.7.2023 / $945Camp Lakota: Traditional / Session 4 / Adventure Bound / Grades 6-8 / 7.10.2023 - 7.14.2023 / $945Camp Lakota: Traditional / Session 5 / Adventure Bound / Grades 6-8 / 7.17.2023 - 7.21.2023 / $945Camp Lakota: Traditional / Session 6 / Adventure Bound / Grades 6-8 / 7.24.2023 - 7.28.2023 / $945Lakota Selection - Traditional (Grades 9-12)*Camp Lakota: Traditional / Session 3 / Night Crawlers / Grades 9-12 / 7.3.2023 - 7.7.2023 / $945Camp Lakota: Traditional / Session 6 / Night Crawlers / Grades 9-12 / 7.24.2023 - 7.28.2023 / $945Lakota Selection - Traditional Three Day Camp (Grades 1-12)*Please select Session 7: Slice of Camp.Camp Lakota / Session 7 / Slice of Camp / Grades 1-12 / 7.31.2023 - 8.2.2023 / $560Lakota Selection - Equestrian (Grades 2-5)*Camp Lakota: Equestrian / Session 3 / Take the Reins / Grades 2-5 / 7.3.2023 - 7.7.2023 / $1200Camp Lakota: Equestrian / Session 4 / Take the Reins / Grades 2-5 / 7.10.2023 - 7.14.2023 / $1200Camp Lakota: Equestrian / Session 6 / Take the Reins / Grades 2-5 / 7.24.2023 - 7.28.2023 / $1200Lakota Selection - Equestrian (Grades 6-8)*Camp Lakota: Equestrian / Session 1 / Saddle Up / Grades 6-8 / 6.19.2023 - 6.23.2023 / $1200Camp Lakota: Equestrian / Session 2 / Saddle Up / Grades 6-8 / 6.26.2023 - 6.302023 / $1200Camp Lakota: Equestrian / Session 5 / Saddle Up / Grades 6-8 / 7.17.2023 - 7.21.2023 / $1200Lakota Selection - CIT 1 /CIT 2/ WIT (Grades 9-12)*Camp Lakota / CIT 1 / Grades 9-12 / 6.19.2023 - 7.7.2023 / $1520Camp Lakota / CIT 1 / Grades 9-12 / 7.10.2023 -7.28.2023 / $1520Camp Lakota / CIT 2 / Grades 10-12 /6.19.2023 - 7.7.2023 / $1520Camp Lakota / CIT 2 / Grades 10-12 / 7.10.2023 -7.28.2023 / $1520Camp Lakota / WIT / Grades 10-12 / 6.19.2023 - 7.7.2023 / $1520Camp Lakota / WIT / Grades 10-12 / 7.10.2023 -7.28.2023 / $1520Lakota Selection - Family Camp (All Grade Levels)*Camp Lakota / Family Camp / Grades K-12 / 8.11.2023 - 8.13.2023 / $265Lakota Selection - Troop Camp (All Grade Levels)*Camp Lakota / Troop Camp / Grades K-12 / 8.3.2023 - 8.6.2023 / $353Camp Lakota / Troop Camp / Grades K-12 / 8.7.2023 - 8.10.2023 / $353Household InformationNumber of family members in household:*Total gross annual household income:*Does your family currently receive any of the following?*Select all that apply. Free/Reduced Lunch CalFresh MediCal Other Not Applicable Please describe:* If you feel your financial circumstances are not accurately reflected in the above information provided, please provide details below.Financial InformationThe Campership guidelines below are a framework for how family contributions are distributed based on the income listed on your application. However, if your family is unable to meet the suggested family contribution amount, then please indicate the reason below with the amount that you can contribute.Please enter the cost of the camp you selected:*The cost of the camp may be found in the description of the camp you selected above. Based on the chart above, please select the percentage that applies to you:*25%50%75%100%HiddenHidden calculation AHiddenHidden calculation BIf awarded a Campership, your suggested family contribution would be:If you are awarded a Campership, will you be able to make this suggested family contribution?* Yes No If you are unable to provide the suggested family contribution, how much are you able to contribute?*If you are unable to provide a contribution, please enter $0.If you are unable to provide the suggested family contribution, please provide an explanation:*Additional InformationAre you a staff person completing this form on behalf of a volunteer or parent/guardian? Yes No Notice of Determination:*Upon submission of this application, a confirmation email will be sent containing an application reference number. This reference number will be used to track your application throughout the extensive process, so it is important to keep your confirmation email with this reference number. This will be the only confirmation you will receive that your application was received. Every applicant will receive a “Notice of Determination” email notifying them whether their application for the Campership was awarded. Further communication will be established for those campers who are selected to receive a Campership. Please be certain to check your Spam folder for communications as failure to accept the Campership on the due date listed will forfeit your application. I agree to the terms of the notice of determination.Notice of Determination - To be read to the volunteer or parent/guardian:*Upon submission of this application, a confirmation email will be sent containing an application reference number. This reference number will be used to track your application throughout the extensive process, so it is important to keep your confirmation email with this reference number. This will be the only confirmation you will receive that your application was received. Every applicant will receive a “Notice of Determination” email notifying them whether their application for the Campership was awarded. Further communication will be established for those campers who are selected to receive a Campership. Please be certain to check your Spam folder for communications as failure to accept the Campership on the due date listed will forfeit your application. The volunteer or parent/guardian agrees to the terms of the notice of determination.Terms of Participation:*I certify that all information in this application is true and accurate to the best of my knowledge. False information is a basis for disqualification for current and future consideration. I also understand that financial assistance will not be considered for any girls/family with delinquent monies due to the council. All outstanding monies owed to the council must be paid prior to distribution of the financial assistance awards. I agree to the terms of participation.Terms of Participation - To be read to the volunteer or parent/guardian:*By agreeing to the terms of participation, you certify that all information in this application is true and accurate to the best of your knowledge. False information is a basis for disqualification for current and future consideration. You also understand that financial assistance will not be considered for any girls/family with delinquent monies due to the council. All outstanding monies owed to the council must be paid prior to distribution of the financial assistance awards. The volunteer or parent/guardian agrees to the terms of participation.Signature* Reset signature Signature locked. Reset to sign again You may use your mouse to sign in the box by hovering over the box and holding down the left click button while drawing your signature. Or, if you are using a touch enabled device (e.g. iPhone, Android, tablet, etc...) you may sign with your finger or stylus.Name of staff person completing this form:* First Last Today's Date MM slash DD slash YYYY CAPTCHA