Camper Application

Fields marked with an * are required

Camper Application

 

If you do not receive a success message when you hit submit then we did not receive the application! Please check that all required fields are filled and resubmit.

Camp Dates for 2024 are:
Session 1: June 16 - June 21
Session 2: June 23 - June 28
Session 3: June 30 - July 5
Session 4: July 14 - July 19
Session 5: July 21 - July 26
Session 6: July 28 - August 2
Session 7: August 4 - August 9
Session 8: August 11 - August 16

Starting in 2024 we will be offering sessions for those 17 and under and 18 and over. This is our first year with this change therefore the age group for each session will be determined based on majority.

Please fill out all fields before submitting your application!

We are unable to grant requests for late arrival or early pick-up times. Please choose a session where your child can be in attendance at camp for the entire six days.

Please number the sessions you want from highest to lowest, please put an X for any sessions you are not interested in.

*Applications must be submitted no later than 3 weeks before session begins.**

**** Please note that we are not equipped to accept children who require one-on-one care. ****

Please indicate the following (associated problem)

General Health:

Medications:
All medications must be in the original container with the child’s name and dosage amount. We can not deviate from these directions.
Please send the exact amount of medication needed for the entire session.

Skin care

Special Equipment

Activities of Daily Living

Personal Care Information

Adjustment to Camp

The above information is true and accurate to the best of my knowledge.
I understand that Camp Grace Bentley is not equipped to service children who require one-on-one care or are unable to function on a 3-1 camper/counselor ratio.

Upon submitting application to Camp Grace Bentley please note:

Application to Camp Grace Bentley does not insure that your child will be accepted. A committee will review the application to determine if Camp Grace Bentley is equipped to accommodate the needs of your child. Many factors are taken into consideration.
The decision of the committee is final.

Each session is $750.00; a non refundable $50.00 deposit is required upon acceptance to camp.

Payment in full is required by MAY 16th

Refunds will be granted if cancelled prior to May 16th, all funds will be returned via Check less the $50.00 office fee.

After submission of the online application you will be asked to download two additional forms which must be signed and mailed to:

Camp Grace Bentley
8250 Lakeshore Rd
Burtchville, MI 48059

Camper Physical Record which must be signed by a licensed physician

Release agreement which must be signed by the parent or guardian.

If you do not receive a success message when you hit submit then we did not receive the application! Please check that all required fields are filled and resubmit.