Day Camp Application Form This form should be completed by volunteer-led day camp directors only. All volunteer-led camps must complete this form and receive approval before you can receive cookie credit reimbursement, financial assistance money for your campers, or website promotion of your camp (if requested). Instructions & Next Steps Applications accepted: February 1 through April 15 Please allow two weeks for approval. Upon approval financial aid and program credits can be processed and if requested, your day camp can be listed on the Camp.GirlScoutsRV.org. Upon review, Girl Scouts River Valleys staff will reach out with any questions and will notify you with your approval status. This form will require you to upload your Finance Manager Budget Spreadsheet (Day Camp Proposal Budget). You may use this spreadsheet, or another tracking sheet or document of your choice. Your Budget must include: Starting bank account balance Proposed income (number of campers and registration fees) Spending broken down by general category (food, activity supplies, speaker/facilitator fees, facility rental, etc.) Have your proposed budget complete before beginning – you will not be able to save your form progress once you start.General Information Name of Day Camp(Required) Do you have a Day Camp Website?(Required) Yes No Please provide the Day Camp website address/URL:(Required) Service Unit(s) Served(Required)Enter the all the service unit names that your day camp will serve. Use the service unit directory to look up names by zip codes and schools. Dates of Camp(Required) Hours of Camp(Required) Approximately how many years has this day camp been running?(Required)Site (Location) of Camp(Required) Camp Site/Location Name City What is the capacity of the camp site/location?(Required)Enter the number of people the location can hold.Have you hosted a day camp or other event at this location before?(Required) Yes No If your day camp will take place on River Valleys' property, have you made a rental reservation yet?(Required) Yes No My camp will not take place at River Valleys' property. Will you be taking any off-site field trips?(Required) Yes No Off-Site Field Trip Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Additional Off-Site Field Trip Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Additional Off-Site Field Trip Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Additional Off-Site Field Trip Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Transportation Will you be providing transportation to and from camp?(Required) Yes No What bus company will provide transportation?(Required)View Girl Scouts River Valleys Approved Bus Companies Will you be providing transportation at any time during the day camp (field trips, trip to pool, etc.)?(Required) Yes No What bus company will provide transportation?(Required)View Girl Scouts River Valleys Approved Bus Companies Do you understand and agree to follow the COVID guidance for using bus transportation?(Required) Yes No See COVID News & Resources for more information.Overnight Do you understand and agree to follow the COVID guidance for overnights?(Required) Yes No See In Person Girl Scout Activity Guidance for more informationWill you be holding an overnight if guidance allows?(Required) Yes No What night(s) will the overnight be?(Required) Add RemoveClick the (+) button to add an additional night.Who will be attending the overnight?(Required) All campers Specific grades/campers Please list the specific grades/campers who will attend the overnight:(Required) Add RemoveClick the (+) button to add an additional grades/campers.Where will girls be sleeping?(Required)Check all that apply Tent Troop House Cabin Other Please list any other place girls will be sleeping:(Required) Add RemoveClick the (+) button to add an additional places.Food What types of meals do you plan/offer during your camp? Check all that apply.(Required)See In Person Girl Scout Activity Guidance for more information Bag lunch (or any lunch from home) Girl-led outdoor cooking following meal preparation guidance, social distancing and masking requirements outlined in the full In-Person Girl Scout Activity Guidance. Take out/delivery/catering that comes in individual packaging and made by a commercial kitchen Programming What is your camp theme this year?(Required)How do you involve girls in the day camp planning process?(Required)What skill-building areas do you plan to cover at camp? Check all that apply.(Required) Leadership Life Skills Citizenship STEM Outdoors Creativity & the Arts Healthy Living Entrepreneurship/Financial Literacy What types of activities will you offer at camp? Check all that apply.(Required) Team Building Arts & Crafts Swimming, Canoeing Archery Sports Songs & Games STEM Other You selected “Other,” please list any additional camp activities.(Required)Will girls be earning any badges and awards?(Required) Yes No Please list the badges and/or awards girls will earn.(Required)Maximum and Minimum Attendance Goals In the fields below, please list your attendance goals for attendee type. Your maximum numbers should represent the largest number of campers you plan to serve with the resources you have. The minimum numbers should represent the lowest number you can serve in order to run your camp and stay within budget Minimum: Incoming Kindergarteners(Required)Maximum: Incoming Kindergarteners(Required)Minimum: Incoming 1st Graders(Required)Maximum: Incoming 1st Graders(Required)Minimum: Incoming 2nd - 3rd Graders(Required)Maximum: Incoming 2nd - 3rd Graders(Required)Minimum: Incoming 4th - 5th Graders(Required)Maximum: Incoming 4th - 5th Graders(Required)Minimum: Incoming 6th Graders(Required)Maximum: Incoming 6th Graders(Required)Minimum: Incoming 7th - 8th Graders(Required)Maximum: Incoming 7th - 8th Graders(Required)Minimum: Incoming 9th - 12th Graders(Required)Maximum: Incoming 9th - 12th Graders(Required)Minimum: 2020 Graduating Seniors(Required)Maximum: 2020 Graduating Seniors(Required)Minimum: Adult Volunteers(Required)Maximum: Adult Volunteers(Required)Minimum: Sibling/Boys Unit (if applicable)(Required)(put ‘0’ if you do not have a sibling or boys unit)Maximum: Sibling/Boys Unit (if applicable)(Required)(put ‘0’ if you do not have a sibling or boys unit)How many non-members do you estimate will attend your camp each day? Non-members would include sibling/boys units, special guest presenters, or special events like family nights.(Required)Example: 10 non-members each day, 50 non-members on family nightBudget Please list your camp fees by type. Include fees for campers, caddies, adults, early bird rates, etc. Select the (+) icon to add another fee to the list.(Required)TypeCost Add RemoveExample Type: Camper Fee, Example Cost: $125.00Please attach a copy of your budget worksheet.(Required) Drop files here or Select files Max. file size: 50 MB. Accepted file types: .xls, .xlsx, .doc, .docx, or .pdfFinance Manager Budget Spreadsheet (Day Camp Proposal Budget)Day Camp Leadership Team Contact Information All day camp volunteers must have a current membership and a current background check on file. DirectorDirector Name(Required) First Last Director Email(Required)Directors will receive a form submission receipt at this address. Co-Director/Additional Director Co-Director/Additional Director Name First Last Co-Director/Additional Director Email Program ManagerProgram Manager Name First Last Program Manager Email Finance ManagerFinance Manager Name(Required) First Last Finance Manager Email(Required) Health ManagerHealth Manager Name(Required) First Last Health Manager Email(Required) Volunteer ManagerVolunteer Manager Name First Last Volunteer Manager Email Older Girl CoordinatorOlder Girl Coordinator Name First Last Older Girl Coordinator Email Food CoordinatorFood Coordinator Name(Required) First Last Food Coordinator Email(Required) Day Camp Promotion Request Do you want your camp listed online at Camp.GirlScoutsRV.org/Camp-Calendar? Yes No Girl Scouts River Valleys will include approved day camps on Camp.GirlScoutsRV.org/Camp-Calendar. Promoted day camps must be open to any Girls Scouts River Valleys girls and must not restrict registration to specific service units. You must also have an up-to-date registration website or an up-to-date paper registration. We will use the information in this application to create your camp listing online. We will send you a link to review once posted.Day Camp Description(Required)Include your camp’s theme, what campers will learn and do, etc. If you’d like to list a schedule, please include it here.A schedule is especially helpful for families if any days begin or end at different times.Contact email to include on the listing.(Required) Grades of Girls Eligible to Attend(Required)(i.e. grades girls will enter in the fall) Registration Open Date(Required)What day can girls start signing up for your day camp? Month Day Year Registration Close Date(Required)What is the last day girls can register for your day camp? Month Day Year Registration Close Time(Required)What time will your registration close? Hours : Minutes AM PM AM/PM How can girls register?(Required) Online Registration (preferred) Paper Registration Online Registration Link(Required)Provide the registration URL of your service unit's or day camp's website. Please make sure your website is accurate and has 2020 Day Camp dates—we will not link to any conflicting or inaccurate information. Upload your Paper Registration Form (PDF or Word Document)(Required) Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 48 MB. Please make sure your registration from is accurate and has 2020 Day Camp Dates—we will not link to any conflicting or inaccurate information.Do you have any special registration instructions?Your Questions Are there any questions or support needs you have for River Valleys staff at this time?By checking this box I agree to the following:(Required) I agree: I will follow Girl Scouts River Valleys COVID Guidance for Day Camps. I will follow all Girl Scouts River Valleys procedures, including but not limited to Safety-Wise, Safety Activity Checkpoints, Policies, and Volunteer Essentials. I will ensure all day camp attendees (excluding sibling units) have a current Girl Scout membership. I will ensure all day camp volunteers have a current membership and background check on file. I will ensure our camp keeps accurate records. I understand that it is the day camp director’s responsibility to submit the Day Camp Final Report Form within 30 days of camp ending. This includes submitting camper registration information, camper health history forms, daily attendance rosters, final camp budget (including all income and expenses), accident/incident reports and insurance claims if applicable, and your post-camp final bank statement. Δ