Camp Fund Application

If you'd like to apply for assistance from the Fund, please fill out the form below and submit it. You can also download the form and send it to:

Captain Douglas DiCenzo Camp Fund
27 Deacon Willey Rd
Campton, NH 03223

Please fill out the form below. There are no deadlines for inquiries. After we receive your information, a representative from the Fund will be in touch through e-mail to discuss additional details.

Parent's Name *
Parent's Name
Child's Name and Age
Child's Name and Age
Parent Phone Number
Parent Phone Number