Woodland Creatures at Camp Lyle McLeod
Visit our website at https://www.kayakcommunitycamp.com for more information about our camp program, fees and to download health & conduct forms.

There are three parts to our registration process. PART ONE is this online registration, PART ONE A is the Tell Us About Your Camper online form and PARTs TWO & THREE are the 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.

*A $25 deposit is required to hold your camper's spot if not paying in full at time of registration. Deposits will NOT be refunded. Options to pay the deposit are the same as if you pay in full.*  

Your full registration confirmation will be emailed once we have received your camper's completed paperwork and fees. Please mail all required physical forms and checks/money orders to the camp registrar at: 
                                                                            
Kayak Community Camp
c/o Stephanie Barrett                                                    
12306 11th Drive SE                                                                          
Everett, WA 98208 

PayPal is now available to pay camp fees. We are charged a fee to process payments via PayPal when the payer uses anything but a bank account. Please consider using only this method or adding 3% of your transaction to your total.
You can also pay on our website kayakcommunitycamp.com for a $6 processing fee PER TRANSACTION. 
As always, you are welcome to mail a check, money order or cashiers check.           

**PLEASE INCLUDE YOUR CAMPER'S NAME IN THE NOTES/MEMO FIELD ON ALL PAYMENT METHODS**                                            

Read all instructions and questions carefully, as you are responsible for the accuracy of all information. Only fill out the form once per camper. Within 7 days of your completed online form, physical paperwork, and payment or deposit, you will receive an email with your camper's registration confirmation.

YOU WILL NOT RECEIVE A CONFIRMATION UNTIL ALL PARTS OF THE REGISTRATION PROCESS ARE COMPLETE.
                                                                Thank you!       

**NOTE: IF YOUR CAMPER IS NOT ALREADY A REGISTERED GIRL SCOUT, PLEASE DO SO PRIOR TO REGISTERING FOR CAMP. https://www.girlscoutsww.org/en/join/become-a-girl-scout.html                                
Sign in to Google to save your progress. Learn more
Camper's First Name *
Camper's Last Name *
Name Your Camper Prefers (if not first name)
Camper's Grade in Fall 2023 *
Date of Birth *
MM
/
DD
/
YYYY
We will do our best to place all camper's in their unit of choice. Please see our website for full unit descriptions.
NOTE THE FOLLOWING UNITS ARE CLOSED: HACIENDA, ARK & PIONEER HAVE REACHED CAPACITY. TOTEM HAS BEEN CLOSED DUE TO LOW REGISTRATION.
Clear selection
Camper T-Shirt Size (every camper receives a t-shirt) *
Primary Parent/Legal Guardian *
Primary Parent/Guardian Email *
Primary Parent/Guardian Phone Number *
Second Parent/Legal Guardian
Second Parent/Guardian email
Second Parent/Guardian Phone #
Camper Address *
Town *
State *
Zip Code *
Is the camper a registered Girl Scout for the 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. The cost is $25 and collected by Girl Scouts of Western WA for GSUSA and therefore cannot be refunded or transferred. Financial assistance can be used for this fee and is available to those who qualify. https://www.girlscoutsww.org/FinancialAssistance  *
If currently a registered Girl Scout, what is your Service Unit number?
Troop number or IRM
If your camper has come to Kayak Camp before, how many years will this be?
Campers can request to be with their ONE friend:
We have a dance every year at camp but will offer alternative activities if enough campers don't want to participate in the dance.
Clear selection
ONE song request for dance:
Does your camper have any special dietary needs? THIS IS NOT A DIET/LIFESTYLE CHOICE.  
*This means if she is gluten-free according to all her paperwork, we will purchase special foods for gluten-free individuals. It also means if she asks for regular bread, noodles, etc. we will have to deny her request.*
 *
If yes, please specify.
Does your camper have any special medical needs/diagnosis? *
If yes, please specify.
We ask that campers only receive letters - NO PACKAGES PLEASE. Please indicate below that you have read and agree to this policy.
 *
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 players, tablets (iPads, Kindles, 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.  
 *
Are there any camp activities your camper does not have permission to participate in?
 *
If yes, please specify.
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 unless specified in the previous question. I understand that a statement of their good health is required before they may attend.
 *
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.
 *
♥Please mark how you intend to pay the camp fees below. Camper fees can currently be paid with a check, money order, cashiers check, Cookie Dough card and financial assistance. We can accept PayPal - kayakcommcamp@gmail.com. Please add 3% to your transaction amount unless using a bank account to pay.  You may also pay on our website with a credit or debit card for a $6 processing fee per transaction.
♥Mark all that apply (ie, mail a personal check for a portion of camp AND using Cookie Dough for a portion of camp). 
NOTE: A $25 deposit is required if not paying in full at time of registration. This goes towards the camp fee. All camp fees/balances are due no later than June 15, 2023. If payment is not received by the due date, the camper will be removed from the roster and the deposit will not be refunded. 
**PLEASE INCLUDE YOUR CAMPER'S NAME IN THE NOTES/MEMO FIELD ON ALL PAYMENT METHODS**
 *
Required
There is a $6 fee to pay online with a credit or debit card, per transaction. You are responsible for adding this to your total amount if you choose this option. *
If not paying in full or utilizing financial assistance, submit a $25 non-refundable deposit to hold your camper's spot. I acknowledge that full payment is due no later than June 15, 2023 and fees increase the closer we get to camp. *
YOUR CAMPER’S NAME NEEDS TO BE IN THE NOTES/MEMO FIELD OF ANY AND ALL PAYMENT METHODS. *
Required
Do you intend to use Cookie Dough?  *
If using Cookie Dough, please provide the following Cookie Dough card information: 
Name on card
Amount 
Full card number
Expiration date
CVC
Optional crew neck sweatshirts are available for campers (color pre-chosen by volunteers). The fee is $20. Please list size below and add $20 to total due.
Refund policy: Cancellations received by June 15, 2023 will be refunded in full (minus non-refundable $25 deposit). After June 15, 2023 fees are not refundable. Exceptions may be made at the discretion of the camp directors if the camper's spot can be filled. *
Required
Who filled out this form? *
My camper is a Top Seller and earned a half price trip to camp (please forward the email you received from Council to us at kayakcommcamp@gmail.com). *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms