Yocona-Pushmataha Council, Boy Scouts of America Campership

Ed and Becky Meek Foundation

Applicant Information
Scout’s Name________________________ Scout’s Unit type & number: ______________

Parent’s Name_______________________ Parent’s Phone Number__________________

Parent’s Email_______________________________________________________________

Declaration of Financial Need

Which Yocona-Pushmataha Camp is your Scout attending?
☐ Cub / Webelos Resident Camp (for packs) [$125 early bird fee, $150 regular]
☐ Scouts BSA Summer Camp (troops and crews) [$250 early bird fee, $275 regular]
☐ NYLT (troops and crews) [$200]
☐ Scouts BSA Winter Camp (troops and crews)
☐ Cub/Webelos Winter Camp (packs)
☐ National OA Conference (troops and crews) [$800]
Please select the level of financial assistance you are applying for:
☐ 50% of camp registration fee
☐ 100% of camp registration feel

I hereby declare that I am seeking assistance for my child to attend Yocona-Pushmataha Council
Summer or Resident Camp. My child has participated in all Council fundraising opportunities (Camp
Cards and Popcorn) over the last calendar year and all unit fundraising opportunities.

Parent’s Signature: __________________________________________ Date: ___________

Unit Leader Signature: _______________________________________ Date: ___________

For Official Use Only

Scholarship Awarded: Y or N Amount of Scholarship: _______________________

Credited to Camp Session #: ___________________________________________________
Foundation Representative Name: _______________________________________________
Foundation Representative Signature: ____________________________________________
Foundation Representative Title: ________________________________________________

505 Air Park Road

Tupelo, MS 38801