Be Your Own Hero 2020
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 girls. 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 entering 2nd through 12th grade in the fall. Girls 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 U.S. Mail 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

Your registration ONLY becomes valid once we have received your camp completed paperwork and fees. Please mail camp fees (calculate at the end of this form and on Forms Cover Sheet) and all of your camp paperwork to the camp Registrar at:
Mountain Valley Community Camp
P.O. Box 192
Woodinville, WA 98072-0192

Please read all questions carefully - you are responsible for the accuracy of all information.
Please only fill out the form once, there will not be a confirmation at the end. You will receive an email confirmation after all paperwork, and fees have been received by mail and your child has been placed in a unit. Thank you
Camper First Name *
Your answer
Camper Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
If "other" county please specify
Your answer
Camper Birth Date *
MM
/
DD
/
YYYY
Grade in September 2020 *
First Parent/Guardian First & Last Name *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number *
Your answer
Parent/Guardian Email *
Your answer
Second Parent/Guardian First & Last Name
Your answer
Primary Phone Number
Your answer
Secondary Phone Number
Your answer
Parent/Guardian Email
Your answer
Is the camper a registered Girl Scout for 2019-2020 membership year? To attend camp, Girl Scouts of Western WA requires that all of our campers are currently registered members of Girl Scouts. If currently not registered, please register at https://girlscouts.secure.force.com/girl . To register for Girl Scout Membership an additional $25 membership is collected by Girl Scouts of Western WA for GSUSA and therefore cannot be refunded or transferred. *
If currently a registered Girl Scout, what is your Troop Number/IRM?
Your answer
If currently a registered Member, what is your Service Unit Number?
Your answer
If you have previously attended Mountain Valley Community Camp, how many years have you attended?
Your answer
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? *
Your answer
Does your camper have any special dietary needs? *
If yes, please specify
Your answer
Does your camper have any special medical needs/issues? *
If yes, please specify
Your answer
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