Skagit Day Camp 2024 - Registration and Health Form

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Registration for Skagit DAY Camp, July 8-12, from 9:00 am to 4:00 pm.

Email *

Camper's First Name *

Camper's Last Name *

Primary Adult Contact First Name *

Primary Adult Contact Last Name *

Email Address *

Primary Phone Number *

Alternate Phone Number

Address (include City and ZIP) *

Camper's Date of Birth *

YYYY

Camper's Age *

Please select the Unit most appropriate for your camper: *

Going into First Grade

Going into Second Grade

Going into Third Grade

Going into Fourth Grade

Going into Fifth Grade

Going into Sixth Grade

Going into Seventh Grade or above, participating as a camper

PAint (Program Aid in training) - Going into 6th or 7th Grade

Program Aide - Going into 8th or 9th Grade

VIT (Volunteer In Training) - Going into 10, 11 or 12th Grade

Adult Volunteer Staff

Tag (non Girl Scout child of Adult Volunteer)

Is this the camper's first year at this camp? *

Yes

Does your camper have a buddy that they would like to be in the same unit with? If yes, enter the buddy's name here. Buddies must be the same grade level. We will do our best to place buddies together. Both campers must request each other. *

Are there any special needs we should consider when placing your camper in a camp unit? *

T-Shirt Size *

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Adult 2XL

Adult 3XL

Girl Scout Membership

Girl Scouts of Western Washington requires that all of our campers are currently registered members of Girl Scouts. If your K-12 camper is not currently a member of Girl Scouts, a $25 membership fee is required before your registration is considered complete. When you have completed this registration form, go to www.girlscoutsww.org to register.

My camper is currently a registered Girl Scout. *

Yes

No.

My camper is in Troop Number (if known):

If your camper is an independently registered Girl Scout, enter IRM.

Service Unit Number (or name), if known.

Camper Release

In Girl Scouting, the health and safety of your camper is our most important concern. For this reason, we ask that you complete the form below and read the information that follows very carefully. This procedure was implemented to ensure the safety of all campers at day camp.

Please provide us with the following information about who will be picking up your camper from day camp. Campers will only be released to adults listed on this Camper Release for Check-out form. The adult listed on this form must show PHOTO IDENTIFICATION. For your camper's safety, there will be no exceptions. All changes must be made in writing to the Camp Director with the parent/guardian's signature.

I will pick up my camper. Please enter your name: *

My camper can be released to: (separate multiple names by commas) *

Is there anyone who is not permitted to pick up your camper? *

Payment Options

Registration is not complete until payment is received.

We are paying camp fees by: *

Credit / Debit Card (See the link in the 'Step 2 Payment' section of the website)

Check or Money Order (mail to Skagit Day Camp Registrar, 808 N 30th St, Mount Vernon WA 98273)

Cookie Dough (Registrar will contact you for details)

Financial Assistance. (See www.girlscoutsww.org for FA forms. Must be turned in 30 days before camp.)

My troop leader is paying

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