Blast From the Past 2023
Join the Volunteers in Celebrating Mountain Valley Commuiniy Camps 25th year clebration August 6-12, 2023.
Camp fills up quickly, so please pay close attention to the dates for registration.

Mountain Valley Community Camp is staffed entirely by unpaid volunteers to provide a safe and fun camp experience for a wide range of campers. All adult volunteers are trained in Girl Scout policies and procedures as well as outdoor camping skills.

Camp Lyle McLeod is a Girl Scouts of Western Washington Council camp located on Lake Bennettson, near Belfair, WA.

Camp is open to any Girl Scout entering 2nd through 12th grade in fall 2023. Campers are assigned to units by grade level. All units are located around the lake. Everyone has an opportunity for swimming, boating, games, songs, archery, crafts, and more.

Please visit our website at www.mountainvalleygscamp.com for more information about camp and programming.

Please provide the following information about your camper.
NOTE: USE A NEW SURVEY FORM FOR EACH CAMPER YOU ARE REGISTERING!

There are two parts to our registration process, PART ONE is on-line registration and PART TWO is physical paperwork and payment. Be aware that all registrations will be processed in the following order: online registration, complete paperwork (all required forms) and camp fees received by the camp Registrar.    
                                                                     
Camp forms are available on the Mountain Valley Community Camp website at www.mountainvalleygscamp.com. The forms are :                                                                                
                                             
1. Community Camp Health History and Consent to Treat Camper Registration                                          
2. Camper Release Information                                  
3. Share Your Camper                                                                    
4. Community Camp Code of Conduct 
5. Covid-19  Waiver                                    
                                                               
Your full registration confirmation will be emailed once we have received your camper's completed paperwork and fees. Please mail all camp physical forms and checks/money orders to the camp Registrar at:                                                                              
Mountain Valley Community Camp                                                    
P.O. Box 192                                                                              
Woodinville, WA 98072-0192                                                              

Please read all questions carefully, as you are responsible for the accuracy of all information. Please only fill out the form once. Within 7 days of your completed online form, physical paperwork, and payment or deposit, you will receive an email that it have been received and your camper has been added to our roster. 
                                                                Thank you                                                        
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Camper First Name *
Camper Last Name
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Camper's Grade in Fall 2023
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Main Contact Email Address
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T-Shirt Size (Every Camper Receives a T-Shirt)
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Camper Birthdate
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MM
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DD
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YYYY
First Parent/Guardian First & Last Name
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Camper Primary Address
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City
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State
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Zipcode
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County
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Primary Phone Number
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Second Parent/Guardian First & Last Name
Second Parent/Guardian Email
Second Parent/Guardian Phone Number
Is the camper a registered Girl Scout for 2022-2023 membership year? To attend camp, Girl Scouts of Western WA requires that all of our campers are currently registered members of Girl Scouts. If not currently registered, please register at https://www.girlscoutsww.org/en/join/become-a-girl-scout.html . To register for a Girl Scout Membership an additional $25 membership fee is collected by Girl Scouts of Western WA for GSUSA and therefore cannot be refunded or transferred.
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If currently a registered Member, what is your Service Unit Number?
If currently a registered Girl Scout, what is your Troop Number/IRM?
If you have previously attended Mountain Valley Community Camp, how many years have you attended?
Campers may request to be in a unit with a buddy. Buddy requests must be in the same grade level or one grade above or below. Does your camper have a Buddy request?
Does your camper have any special dietary needs?
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If yes, please specify
Does your camper have any special medical needs/diagnosis?
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If yes, please specify
In order to have a positive camping experience in which campers (and adults) are focused on camping skills and experiences, we have a mail policy. We ask that campers only receive letters - NO PACKAGES PLEASE. Please indicate below that you have read and agree to this policy.
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Girl Scout camp is about enjoying the outdoors and building relationships with other campers/Program Aids. Staff is focused 100% on camper/Program Aid safety and making sure that they have a positive camp experience. As a result, we request that campers/Program Aids bring no electronic equipment to camp. This includes cell phones, Ipods, mp3, tablets (Ipads, Kindles, etc), hair dryers, curling irons, etc. Any electronic equipment brought to camp will be placed in the health house and returned to adults at check out. We are not responsible for lost or stolen items.  
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By checking the box below, I certify that I have legal custody of the camper I am registering for camp. As parent/guardian having legal custody of the camper named, who is voluntarily enrolled as a participant in the Girl Scouts of Western Washington community camp program, I agree to instruct my camper to observe rules and regulations governing the activities. I understand that camping programs involve inherent risk and possible injury because of the nature of the activity, even when conducted in a safe manner. I give permission for my camper to attend camp and participate in all phases of the program including off-site activities and related transportation. I understand that a statement of their good health is required before they may attend.
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As the parent or legal guardian of the above camper, I give permission for the above named camper to be photographed and/or audio/video taped during this event and for the images and/or recordings to be published, reproduced or distributed by Girl Scouts and its affiliates in all outlets, including but not limited to television, newspapers, internet, council publications, recruitment materials and ads without liability or limitation or claims on my minor's part.
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Full Name of person filling out form
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All camp fees are due no later than June 30, 2023. If payment is not received by June 30, 2023 the camper will be moved to the waiting list. Camper fees can be paid with a check, money order, cashiers check, cookie dough card, financial assistance, or Square.                                            Camp Fees (please check the appropriate camp fee)
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***Optional*** $30 Hooded Sweatshirt with "Blast From the Past 2023". Specify the size and color. (Please add $30 to the Camp Fee)
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Sweatshirt Color
Clear selection
Sweatshirt Size
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***Optional*** $8 All Camp Photo (Please add $8 to the Camper Fee)
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** Deposit** If not paying in full, submit a $50 deposit (non-refundable).  I acknowledge that full payment is due no later than June 30, 2023. (Please check the box ONLY if submitting a deposit)
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Will you be applying for Financial Assistance? Note: If you are applying you will need to submit all of your campers forms to MVCC and complete Financial Assistance Request with Girl Scouts of Western WA
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Do you intend to use Cookie Dough for registration Fees? If so please deduct expected Cookie Dough from Camper Fees
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If using Cookie Dough please include: Name on the card, Amount to be used, Full card number, Expiration date, CVC number
For Electronic Payment we will send a Square Invoice when your camper's paperwork is complete and we have added your camper to the roster. There is an $8 processing fee
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Electronic Payment email if applicable
Refund Policy: Cancellations received by June 30th will be refunded in full, (minus $50 non-refundable deposit).  After June 30th, registration fees are not refundable. Exceptions may be made at the discretion of the camp director, if space can be filled from waitlist.
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