2019 SCHEDULE

CASH / CHECK PAYMENTS RECEIVE A $10 DISCOUNT

Session 1: Try Me Camp (Ages 5 -13) Dates: 6/24/19 - 6/28/19 Prices: $345.00 (try me day camp) + $45.00/night for extra nights if you pay as you go, $470.00 (try me overnight)

Session 2: Try Me Camp (Ages 5-13) Dates: 7/1/19 - 7/5/19 Prices: $345.00 (try me day camp)+ $45.00/night for extra nights if you pay as you go, $470.00 (try me overnight)

Session 3: Classic Overnight Camp (Ages 6-13) Dates: 7/7/19 - 7/12/19 Price: $495.00

Session 4: Classic Overnight Camp (Ages 6-13) Dates: 7/14/19 - 7/19/19 Price: $495.00

Session 5: Classic Overnight Camp (Ages 6-13) Dates: 7/21/19 - 7/26/19 Price: $495.00

Session 6: Bridge Weekend (Ages 6-13) Dates: 7/19/19 - 7/21/19 Price: $125.00

Session 7: Day Camp (Ages 5-13) Dates: 7/29/19 - 8/2/19 Price: $345.00

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Forms:

  • You can submit your registration/health form online below (it's easy!) OR you can print out the forms (see links below) and mail them.

  • If your child receives free/reduced lunch at school and/or you are applying for a scholarship from GMC, please print out and fill out the Summer Food Student Eligibility Form as well, it helps the camp get partially reimbursed for food costs!

  • Please be sure to send forms along with required signatures!

Downloadable forms: - 2019 Forms

2019 Health and Registration Form
2019 Scholarship Application (must be printed off and sent in)
2019 Summer Food Student Eligibility Forms (must be printed off and sent in)

Payment options:

  • TWO options

    • Pay in full with PayPal using a credit card or send a check for the full amount to the address below. CASH / CHECK PAYMENTS RECEIVE A $10 DISCOUNT. Be sure to also submit registration and health forms for your camper.

    • If you want to register now to hold your spot send a $100 non-refundable deposit check per registration with forms to Green Mountain Camp, 565 Green Mountain Camp Road, Dummerston, VT 05301. The $100 deposit will be applied to your account and the remaining balance is due - by cash or check -  two weeks before camp begins. Questions? Call 802-257-1751.

Online Payments for 2019 Sessions
Name of Camper:
2019 Camp sessions - Please select *
Camper's Name *
Camper's Name
Preferred Name *
Preferred Name
Method of payment *
Address (where camp mail should be sent) *
Address (where camp mail should be sent)
Phone (home) *
Phone (home)
Phone (work)
Phone (work)
Phone (cell) *
Phone (cell)
If your child will be picked up on any day by anyone other than the names listed above, please list any people who will be picking your child up and provide a phone number. Note, campers will not be released to anyone whose name does not appear here. Unless you have a court order, we cannot stop the release of your child to either parent if they so request.
Other family contacts (i.e. grandparents) to whom we could send fundraising information?
Other family contacts (i.e. grandparents) to whom we could send fundraising information?
Is there anything we should know about your child's feelings, abilities or concerns to help make her camp experience successful (e.g., what hobbies, interests or camp activities does your child most enjoy? How does your child feel about coming to camp? Has your child articulated any worries about camp ? How does your child interact with adults, other children both individually and in a group)?
Special instructions
Please tell us about any special instructions or needs your child has. Your camper's experience at GMC depends on us being prepared!
Photo release *
Please check all boxes that apply. PLEASE NOTE: If you grant permission for all uses of photos check the first four boxes. If you DO NOT GRANT PERMISSION check only the 5th box.
Camp policies
Date *
Date
Signature *
Signature
(No need to write in this box)
Primary Care Practitioner's Name and Phone Number
Insurance Company, Group Number, Policy Number, and Policy Holder's Name
Please list any medical conditions (asthma, diabetes, epilepsy, ADHD, anxiety, depression, or other):
List any medications camper will be taking at home or at camp; include times:
List any allergies or sensitivities to food or medicine or other:
Sleeping History *
Has your child had a history of:
List any other concerns you would like the camp staff to know in order to help your camper enjoy her week safely
Over the Counter Medication *
Check which over the counter products you authorize camp personnel to administer or apply:
Other Required Documents *
Please Check All That Apply