Girl Scouts Of Western Washington Special Camp Session Registration Form

ADVERTISEMENT

Girl Scouts of Western Washington
Special Camp Session Registration Form
Core Camps, Partners Camps, Family Camps
Check
for the information and cost.
Use a separate form for each camp session.
Complete both sides of this form. Be sure the camper meets qualifications for the program you choose.
Return with payment to: Girl Scouts of Western Washington, PO Box 770, DuPont, WA 98327-0770.
Fax: (253) 473-0969 Email:
Adult in charge of group
Home Phone (
)
Address
Cell Phone (
)
Adult Contact’s e-mail
City
State
___ Zip
_____
Change of address:
Yes
No
(please list email address where you would like the camp information to be sent)
Troop#
Event Name/Location
Event Date(s)
# Child(ren)
# Adults
One session per form, please.
Please tell us if anyone attending the event has any special dietary or physical needs that would affect participation
:
Name: _____________________________ Need: ________________________________________________________________________
(Use another page if more space is needed, or for additional names.)
A
non-refundable $25 deposit is required
for all
Session Fee
registrations, including those that qualify for
Total Attendees
X $
=
$
Financial Assistance.
(child)
(Session Fee)
Total Attendees
X $
=
$
Please see financial assistance information online
(adult)
(Session Fee)
at
scouts/join/financial-assistance.html
*
Non- members
(add $15 per person)
+
$
(Complete membership information on side 2)
Please see Camp Brochure or
I’d like to make a tax-deductible donation
for Session Fees.
to send other girls to camp (optional)
+
$
*
One registered Girl Member is required per
Payment enclosed
$
Family Camp or Partners registration. All Core
($25 per person deposit minimum)
Camp participants must be registered members.
Total Attendees Requesting FA
_____
(Attach Financial Assistance Request forms to this registration)
:  Check #
 Cookie Dough Card _______________________
Payment Information
________
 Visa
 MasterCard
 American Express
 GSWW Gift Card Number
Amount authorizing to be charged (either cookie dough, credit card or GSWW Gift Card) $
__
Please Print Name of Card Holder
________
Signature of Card Holder
______
Card #
_____
___
____
_
Exp. Date
V Code
__
Cancellation Policy
Written notification of all changes and cancellation is required. Send notice to the camp registrar at the DuPont Girl Scout Center. Email to
is acceptable and preferred. The deposit is non-refundable/non-transferable. If written cancellation is received at
least four weeks before the beginning of the session, all camp fees already paid except the nonrefundable $25.00 deposit may be refunded.
Fees paid for transportation will be refunded only if written notice of cancellation is received prior to the four week cancellation deadline. In the
event of a medical condition or family emergency that requires cancellation, the fee, minus the deposit, may be refunded at the discretion of the
camp director, or if space is available, a transfer to another session may be arranged. The explanation for cancellation must be received in
writing. Confirmation from a medical provider is required for a medical cancellation. NOTE: For Core Camp Only: If a participant cannot attend,
substitutions may be made up to four weeks prior to the start of the session.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2