Adventure Camp Tiered Pricing Form

Adventure Camp Tiered Pricing Form
Tiered pricing means that families pay different amounts for camp based on their financial circumstances. This system helps us remove barriers and welcome more campers into our community.

There are five pricing tiers, with each family choosing the tier that best fits their situation. Spots at each tier are limited and available on a first-come, first-served basis.

Can I Combine Tiered Pricing with Other Discounts?
- Yes: You can still receive flat dollar amount discounts, like the Early Bird or Adventure Camp Yard Sign Discount.
- No: You cannot combine percentage-based discounts (e.g., sibling or Gordon College staff/faculty discounts) with tiered pricing.
If you’re unsure which option is best for your family, feel free to fill out the Tiered Pricing Form—we’re happy to help you determine what works best.
Tiered Pricing vs. Financial Aid
Tiered pricing is not the same as financial aid. However, we request that you fill out the Tiered Pricing Form first.

If you have already filled out the Financial Aid Request Form, please still fill out this Tiered Pricing Form.

If your family needs additional support after filling out this Tiered Pricing Form, you can also fill out our Financial Aid Request Form separately.
How to Choose Your Tier
Use the chart below to find the tier that best fits your family. Selection is based on:
- Gross family income (not including child support)
- Number of people in your household (including the camper, parents/guardians, and dependents)
Please look at the chart and carefully choose the tier in which your family best fits.*

Tier 1Tier 2Tier 3Tier 4Tier 5 (Full Tuition, income verification not required.)
Number of family members in household, including camper. *
Camper lives in a (check all that apply)

Single Income HouseholdTwo-Income HouseholdOne ParentGrandparentsOther living arrangement
If you checked "other living arrangement" please explain:
Required Documents
Upload the first page of your most recent federal tax return or W2s below.
Please block out Social Security or Tax ID numbers.
Do not include schedules, worksheets, or state returns.
Upload income verification document(s) here.*

Cancelof
Has this camper attended camp before?
Is this camper receiving any other discounts or financial aid for camp this year?
Family Information
Camper(s) Name(s):*
Birth Date(s):*
Birth date(s)
Parent/Guardian Name(s):*
Parent/Guardian Name(s)
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Adventure Camp Tiered Pricing Form

Family Information