2025 Summer Registration – Valley Mill Camper Forms

"*" indicates required fields

Step 1 of 3

Select Session(s) you would like.*

1st Week(MCPS): 6/16-6/20 – $670 (includes $200 Reg Fee)

1st Week(DCPS): 6/18-6/20 – $402 (includes $200 Reg Fee)

Season: 6/23-8/15 – $5360 (includes $600 Reg Fee)

1st Session: 6/23-7/18 – $2680 (includes $300 Reg Fee)

2nd Session: 7/21-8/15 – $2680 (includes $300 Reg Fee)

A Session: 7/21-8/1 $1340 (includes $300 Reg Fee)

B Session: 8/4-8/15 $1340 (includes $300 Reg Fee)

10th Week: 8/18-8/22- $670 (includes $200 Reg Fee)

Notes

Camper Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone*

Which Camp are you applying for?*

Date of Birth*

Age*

Grade Next September*

School Name*

Has your Camper attended Valley Mill Camp before?*

How did you hear about Valley Mill Camp?*

Buddy Request

T-Shirt Size*

Parent #1*

First Last

Parent #1 Email*

Please add registration@camperforms.com to your contact list. This can help prevent us from being filtered out or going to spam.

Parent #1 Cell Phone*

Parent #1 Work Phone*

Parent #2 Name

First Last

Parent #2 Email

Parent #2 Cell Phone

Parent #2 Work Phone

Emergency Contact Name*

First Last

Emergency Contact Phone*

Date of Last Tetanus Shot*

Health Information*

Transportation: Valley Mill Camp offers transportation to and from Camp. Please indicate your top 3 choices for Pick Up Points using the drop down menus below.

First Choice

Second Choice

Third Choice

Photo Permission – Valley Mill Staff takes photos of campers to include on our Website, Social Media and occasionally Camp Literature. No Camper is ever identified by Name. Please Click the response below to indicate your preference.*

Yes, I give my permission to use photos including my child on Valley Mill’s Websites, Social Media and Camp Literature

No, I do not give my permission to use photos including my child on Valley Mill’s Websites, Social Media and Camp Literature

Privacy Permission – Is it ok to share your phone number and email with other parents in your child's group for the purpose of party and playdate invitations?*

Yes, I give my permission to share my contact information with other parents

No, I do not give my permission to share my contact information with other parents

Transportation: Valley Mill Camp offers transportation to and from Camp. Please indicate your top 3 choices for Pick Up Points using the drop down menus below.

2025 Refund Policies