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Indicates required field
Girl Camper (K-7)
Boy (volunteer's son)
Date of Birth
GRADE IN FALL OF 2019 (if adult, type 'Adult')
Both girls must request each other
Girl Scout Membership
Girl Scouts of Western Washington requires that all of our campers are currently registered members of Girl Scouts. If your Camper is not currently a member of Girl Scouts, a $25 membership fee is added to the camper fee. Please see the payment section of the website for more information.
Currently a Girl Scout?
If yes, Troop Number (If no, please put N/A)
We have 4 payment methods for you to chose from:
1. Credit Card - We will take Visa, MasterCard or American Express. Just click below and pay.
2. Check or money order - Absolutely.
3. Cookie Dough – Make sure to give us the amount and cookie dough number below.
We will do the rest.
If you have a balance due, we will contact you for future payment.
4. Financial Aid – Make sure you have done the GSWW financial aid paperwork.
If using Cookie Dough...
Cookie Dough Card Number (put N/A if not using)
Cookie Dough Expiry Date (put N/A if not using)
Cookie Dough CVV Number (on the back) (put N/A if not using)
Consent of Parent/Guardian
As parent/guardian having legal custody of the camper named above, who is voluntarily enrolled as a participant in the Girl Scouts of Western Washington Community Day/Twilight Camp program, I agree to instruct my child 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 manor. I give permission for her to attend camp and participate in all phases of the program including off-site activities and related transportation.
I understand that her good health is required before she can attend camp. As the parent/guardian of the above child, I give permission for the above child to be photographed and/or audio/video taped during this event and for the images/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 limitations or claims on my or my minor's part. I have read the statements above. I understand the information and agree to allow my daughter to participate in camp.
I give permission for my daughter to join Girl Scouts, if she is not currently registered. I have included my $25 membership fee with this registration and understand that membership fees are sent to GSUSA and cannot be refunded or transferred.
To Pay Online with Debit/Credit Card
PLEASE NOTE: You will still need to fill out a health form and mail it to the address listed above
or email it to firstname.lastname@example.org
Camper Registration - Girl Scout
Camp Registration - Non Girl Scout
Camp Registration - Volunteer Girl
Camp Registration - Volunteer Girl - NON GIRL SCOUT
Camp Registration - Volunteer Boy
Adult Volunteer **
Hold My Spot Deposit
Camp Hoodie - Patch design on back
$25.00 - $28.00
$25.00 - $28.00
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