Summer Camp Forms and Payment Information

Please Note: You can type on Summer Camp Forms prior to printing!! Please scroll down and check the "Registration Forms Checklist" to make sure you have everything!

The forms on this page are in Adobe PDF format. 

You must have the free Adobe Acrobat Reader

 installed on your computer to view and print PDF documents.

To download the Acrobat Reader, click on the Adobe Icon.

Registration Form Side A (This is not the Day Camp Registration form. Scroll down to "Day Camp Registration Form" to get what is needed.)

Registration Form Side B

Video and Photography Release

Permission and Release for Minor Child

Health Form

Medication Form

Scholarship Form

Payment by Credit Card

Residential Camp Registration Forms Checklist:

Mound Ridge Registration  - Sides A and B

Camper Covenant

Get to Know Me

Video and Photography Release

Permission and Release for Minor Child (must be notarized)

Early Departure or Pickup by Other Than Parent (if applicable)

Health Form Sections I, II, III, IV (must be notarized), and V (note that physical exams are good for two years from date of exam; if your child has attended Mound Ridge before, call or e-mail the camp registrar to check the date on the physical)

Medication Form

Scholarship/Presbytery Campership Forms (if applicable)
 

Day Camp Registration Forms Checklist:

Day Camp Registration form (Not the same as the Residential Registration; make sure it says DAY CAMP at the top!)

Permission and Release of a Minor Child (must be notarized)

Video and Photography Release

Immunization Records

Medication Form (if applicable)

Early Departure or Pickup by Other Than Parent (if applicable)

Where to Send Your Forms:

Fax: 314-558-7949

E-mail: moundridge@glpby.org

Mail To:

Mound Ridge Camp Office

31 Agape Lane

Cook Station, MO 65449

**In our quest to be a little more "green" we ask that, if at all possible, to please fax all forms or attach the completed .pdf forms to an e-mail as opposed to sending them by mail**

Check(s) for Registration Fee

Made Payable To:

Presbytery of Giddings-Lovejoy

Mail To:

Mound Ridge Camp Office

31 Agape Lane

Cook Station, MO 65449

Fax  314-558-7949

Payment Details 2011

New Payment Schedule -

All camps require a $50.00 Registration Deposit (will be credited to the full amount)

Paying by Credit Card?

The entire enrollment fee is charged at time if paying by credit card. The charge on your statement may appear as “Presbytery of Giddings-Lovejoy” or “Mound Ridge”.

CREDIT CARD PAYMENTS: To make payments by Credit Card a form is also on the website…this form will need to be printed out and mailed into the camp office….once the form has reached the camp registrar the form will be given to the accountant, at which time the form will be shredded. Only the Camp Registrar and the Accountant will have access to the credit card information. Credit Card information may also be given over the phone to Camp Registrar or Camp Director.