Campguide2014 by Girl Scouts of Central Indiana

Registration opens Friday, January 17

Summer camp

Girl Scouts of Central Indiana

Location map 2 Open houses 3 Community camps 6-7 Camp Sycamore Valley Day camp 8-11 Resident camp 12-15 Troops Love Camping 16-17 Camp Na Wa Kwa Family camp 18-19 Camp Dellwood Day camp 20-27 Camp Gallahue Resident camp 28-43 Family camp 44 Forms Day camp 45-51 Resident camp 52-53 Troops Love Camping 54 Family camp 55 Program assistance grant application 56-58 Girl registration 59 Adult registration 60

Chief Executive Officer Deborah Hearn Smith Chief Operating Officer Cathy Ritchie Director of Program Services Diana Keely Camp Administrators Barb Nichols, Camp Gallahue bnichols@girlscoutsindiana.org Alicia Martin, Camp Dellwood amartin@girlscoutsindiana.org Math and Science Center Manager Katie Wahlstrom Facility Reservation Specialist Debbie Patterson Contact Numbers 855.GSCIN.4U or 317.924.6800

2014 CAMP GUIDE

Camp properties

2014 Safety week for adults Information

Learning opportunities

Join us for a day or even the week to get the outdoor training you need to take your girls canoeing, swimming, outdoor cooking, and even more. We provide meals and lodging during the training. The training will be held at Camp Gallahue in the scenic hills of Brown County.

• American Red Cross Lifeguard Training • NADA Level 1 Instructor (Archery) • American Red Cross Basic Water Rescue and Small Craft Safety (Canoeing) • Outdoor Fundamentals • Camping Anywhere • Outdoor Cooking (advanced) • Firebuilding • Songs

When May 16-20

Where Camp Gallahue (Brown County, 50 miles south of Indianapolis) Maps and confirmation packet will be provided after registration.

Visit girlscoutsindiana.org to register for learning sessions!

Summer camp locations 1 Butler University

7 Grant County

Dellwood 2 Camp Day camp

Informatics Camp 8 IU Resident camp

Day camp

3 Camp Gallahue Resident camp Family camp

Day camp

9 Mounds State Park Day camp

Na Wa Kwa University 4 Camp 10 Purdue Family camp Resident camp 5 Camp 11 Saint Mary-of-theSycamore Valley Day camp Resident camp Troops Love Camping

Woods College Resident camp

6 Girl Scout

Service Center at Bloomington Day camp

5 10

9 2 1 11

6 8 3

Camp open houses Camp Dellwood

Camp Gallahue

Sunday, May 18 2-4 p.m. 2301 N Girls School Rd Indianapolis, IN 46214

Sunday, April 13 2-4 p.m. Sunday, June 1 3-5 p.m. 6758 Bear Creek Rd Morgantown, IN 46160

Camp Dellwood in Marion County is 141 acres of wooded farmland. Six platform tent units and three buildings provide sleeping quarters for over 200 girls a week. A swimming pool permits summer waterfront activities. The camp is located approximately 10 miles west of downtown Indianapolis. We recommend new day camp volunteers attend this open house to become familiar with the property.

Camp Gallahue consists of more than 800 acres of relaxing property in Brown County, near Morgantown, IN. The camp is located about 30 minutes northeast of Bloomington and just over an hour south of the Indianapolis service center. The property includes beautiful hills, an abundance of trees, and a lake.

Camp Sycamore Valley Saturday, May 31 noon-2 p.m. 8439 State Road 26 E Lafayette, IN 47905 Sycamore Valley sits on 160 acres of land and is located on SR 26, seven miles east of Lafayette on the Wildcat Creek. The two sleeping units include A-frame cabins (Unit 1) and eagles nests â&#x20AC;&#x201C; cabins on stilts (Unit 2). Sycamore Valley also has an in-ground pool with modern shower house. Girls may participate in several different learning opportunities on our 37-foot climbing wall and 300-foot zip line, as well as our low ropes course.

Please do not wait to register for camp until the open houses as many camp sessions will already be full. For more information and to register, visit girlscoutsindiana.org/camp.

2014 CAMP GUIDE

Bring a friend to camp

Bring a friend to camp! Bring a friend to summer camp and you both will earn a patch! Encourage your friends to attend camp with you this summer and you will earn a Bring a Friend to Camp patch. Once you find your friend complete this form and mail or fax it to us. This can either be a new Girl Scout or even a current Girl Scout that has never attended that specific camp before. Pass the word along and bring a friend. q Girl Scout q Non-Girl Scout

Dates June 2-July 25

Day camp

Resident camp

Grades K-7

Grades 2-12

Butler University Camp Dellwood Camp Sycamore Valley Girl Scout Service Center at Bloomington Mounds State Park

Camp Gallahue Grades 2-8

Camp Sycamore Valley Purdue University Saint Mary-of-the-Woods College

The form below must accompany your camp registration. If your friend is not a registered Girl Scout, please fill out the girl membership form in the back of the book along with the camp registration.

Girl Scouts of Central Indiana bring a friend to camp form Girl name _______________________________________________________________________________________ Parent name ____________________________________________________________________________________ Address_________________________________________________________________________________________ City___________________________________________________ ZIP code__________________________________ Home phone______________________________ Work or cell___________________________________________ Email___________________________________________________________________________________________ I am bringing____________________________________________________________________ to camp with me I will be attending (please check one) q Day camp and/or q Resident camp at (please check one): q Butler University q Camp Dellwood q Camp Gallahue q Camp Sycamore Valley

q Grant County

q Girl Scout Service Center at Bloomington q Mounds State Park q Purdue University q Saint Mary-of-the-Woods College

Session name:_____________________________________Date of session:_______________________________

Send a girl to camp Camp scholarships It is our goal to continue to provide opportunities for girls who want to go to camp. Camp scholarship provides this life-changing experience for girls who may not otherwise be able to participate because of their economic circumstances. Contributions to the camp scholarship make it possible for all girls throughout the 45 counties we serve to attend camp and have the same opportunities and experiences regardless of their ability to pay. In addition the camp scholarships help underwrite the cost of camp programs, keeping fees low for all girls. With your help, we will continue to give Girl Scouts the opportunities they need to become the leaders they want to be today, and the leaders our community needs them to be tomorrow.

$1,000 = One week of resident camp for four girls

$500

= One week of day camp for five girls

$260

= One week of resident camp for one girl

$100

= One week of day camp for one girl

Donations can be made at girlscoutsindiana.org or complete the form below and mail to: Girl Scouts of Central Indiana, 2611 Waterfront Parkway East Drive, Suite 100, Indianapolis, IN 46214

Yes, I would like to help send a girl to camp! Name_________________________________________________________________________________________ Address _______________________________________________________________________________________ City__________________________________________________________State___________ ZIP________________________________________________________________ Phone__________________________________________ Email__________________________________________ Payment information q $1,000 q $500 q $260 q $100 q Other $________ q Enclosed is my check payable to Girl Scouts of Central Indiana q Please bill my credit card (fill in information below) Card number____________________________________________________ Exp date �� Signature ��

2014 CAMP GUIDE

Community camps

College campus camp

Journey University: Day camp at Butler University Grades: 6, 7, 8, 9, 10 Office Code: 2050

Camp CEO Resident Camp at Saint Mary-of-the-Woods College

Are you working toward your Girl Scout Silver or Gold Award? Do you want a quick way to get all the prerequisites completed so you can dive right into the project? Here’s your chance! Journey University is a week-long program that will help you with everything from the It’s Your Planet— Love It! series, training you on the awards, and working with you to create a plan for your project. Fee includes overnight accommodations on Thursday; Thursday dinner; Friday breakfast and lunch; Girl Scout Gold/Silver Award training and information packets; Journey girl book; Journey award(s); T-shirt; and patch.

Grades: 6, 7, 8 Office Code: 2051

In this four-day overnight, learn what it’s really like to be an executive in today’s world. Leave the week feeling empowered to become confident, capable, and use your talents in order to lead and serve others at home, at school, and in the community. Participate with executive women in activities like: learning how to start a conversation; participating in small group networking; and listening and learning from each other. Enjoy traditional camp activities on the beautiful campus of Saint Mary-of-the-Woods College where the focus has been producing female leaders for more than seven years. At Camp CEO, you will aspire higher by discovering how these real women started out just like you: a teen girl with dreams, goals, and everyday challenges.

$135 8 a.m.-4 p.m. daily, overnight on Thursday night Session 1: June 9-13 (Grades 6-8) Session 2: June 23-27 (Grades 6-10) Session 3: July 21-25 (Grades 6-10) Contact: Kendra Nowell

$300 June 23-June 26 Contact: Meisha Wide

Purdue University Resident Camp: Technology Advances Girl Scouts (T.A.G.S.)

IU Informatics Camp

Grades: 6, 7, 8

Grades: 11, 12

Office Code: 2054

Office Code: 2056

Join the staff of Purdue University’s College of Technology to explore the various areas of the exciting world of technology. You will have hands-on opportunities to work in college labs to expand your knowledge and skills. The faculty will lead the way as you experience each of the eight different departments including Aviation, Building Construction Management, Computer Graphics, Computer Information Technology, Industrial Technology, Electrical Engineering Technology, Mechanical Engineering Technology, and Organizational Leadership and Supervision. Stay on campus in one of Purdue University residence halls. Arrive Monday on campus, July 21 at 9 a.m. and be picked up no later than 6 p.m. on Thursday.

Join the staff of IU's College of Informatics to explore various areas of computer technology in a week-long overnight camp on campus! Work hands-on in the college labs as you learn from faculty about how information technology is used in science, art, and visual communications. After fun hands-on classes all day, enjoy activities in the evening such as bowling, movies, swimming, games, and more. Please note: This is a co-ed activity offered through IU Bloomington. Women and men sleep on different floors and counselors are present at all times. $300 June 22-26 Register online: bit.ly/soicsummercamp2

$275

Contact: Barb Nichols

July 21-24 Contact: Jaime Hubbard

S.T.E.M. camp

Mounds State Park Day Camp

Green Robotic Challenge

Office Code: 2051

Grades: K, 1, 2, 3, 4, 5, 6, 7, 8 Use your imagination to explore the grounds of Mounds State Park. Learn about the preservation of mounds and earthworks built by our Hoosier ancestors! Discover what girls did for fun during the 1800s. Take an adventure through the trails to learn about wildlife, water animals, and the plants that make this park so beautiful. On Thursday, light up the night with fun activities. Swimming daily, weather permitting.

Grades: 4, 5, 6, 7, 8 Office Code: 2054

Have you thought about earning your Get Moving! Journey? Want to learn more about the basics of robotic construction and programming while using the Lego NXT robots. Using the Legoâ&#x20AC;&#x2122;s Green City as a guide, learn more about alternative energy sources along with how to conserve energy. We will end our week by participating in the Green City challenge where you will program your robot to complete seven different missions. Mix in some traditional outdoor activities too, including a day trip to Camp Gallahue.

$80 July 21-25 Mounds State Park 4306 Mounds Rd, Anderson

Location: Girl Scouts of Central Indiana Bloomington Service Center (No transportation provided)

Contact: Meisha Wide

$100 July 7-10, 9 a.m.-4 p.m. Contact: Jaime Hubbard

Making of Me! S.T.E.M. Day Camp at Matter Park Grades: K, 1, 2, 3, 4, 5, 6, 7, 8 Office Code: 2051

Spend the week with your sisters exploring Matter Park! Learn everything from gardening to nutrition and tips on how to boost your courage and confidence to how to apply the Girl Scout Law to everyday activities. Celebrate the final day with a pool party at Splash Park! $35/Girl Scout â&#x20AC;˘ $50/non-Girl Scout Free with adult volunteer July 21-25 Matter Park River and Quarry Rds, Marion Contact: Meisha Wide

2014 CAMP GUIDE

Camp Sycamore Valley � Day camp

Camp open house | Saturday, May 31 | noon-2 p.m. 8439 State Road 26 E, Lafayette, IN 47905

Day camp at Camp Sycamore Valley …is an experience for girls from different troops and groups to meet outdoors each day. Girls attend as individual campers and are placed in units according to their grade in the fall. Please remember this is not troop camp and the entire troop will not be placed together in one unit. Attend day camp and make new friends!

Child care before and after hours is not provided. Day camp is not the same as troop camping. At day camp, you and one friend will be assigned to a unit where you can work and play together all week. Each girl should list the other’s name on their registration form to guarantee placement together. Girls and parents should agree on their camper’s buddy. Often a buddy’s name is listed, but that girl already has arranged to be buddies with someone else. Placement together will not be possible if more than one name or different names are listed. Troops are not guaranteed to be placed together. Troop members attending the same session are not guaranteed the same unit assignments. All girls are placed in a unit based on the grade they will be entering in the fall.

At day camp you’ll try new craft projects, sing, discover the wonders of the outdoors and learn how to live with nature, play games, experiment with science, math, and technology, make new friends, make lasting memories, and for one night, your unit will remain in camp together. Day camp is a great way to build your courage, confidence, and character! Day camp is for all girls who have completed kindergarten through 7th grade. Girl Scouts from other councils, as well as non-members, are welcome to attend day camp. Girls who are no longer active in a troop or have never been members may attend camp by paying a one time fee of $30.* For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself.

Our camp is not open to visitors during camp sessions so that we may provide a safe and secure environment for all participants. All participants and staff must be registered prior to camp in order to attend. Please plan to visit the camps during the open house to see the units, staff and program areas.

Day camp fees-per person Session 1-5 fee...................................................................$80

*Includes Girl Scouts of the USA membership fee.

Non-Girl Scout fee*....................................................... $110

Please fill out the girl member registration form in the back of this book along with the camp registration form.

Full payment is due at time of registration. All fees include a day camp T-shirt and patch. *Includes Girl Scouts of the USA membership fee. Please also fill out the girl membership form and the camp registration form in the back of the book

Day camp begins at 9 a.m. and ends at 3:30 p.m., Monday through Friday. All campers will have the opportunity to spend one night (Thursday) at camp. On the overnight, girls will sleep in a tent/ cabin with other girls. Adults will have separate sleeping quarters. Only registered adults volunteering the entire five days are allowed to stay for the overnight.

Camp fees

Older girl leadership at day camp

Girl Scouts of Central Indiana is committed to providing high-quality, affordable outdoor programming for girls. Thanks to the support of product sales and other funding to the council, we are able to keep the cost of camp sessions substantially lower than the actual cost.

Day camp aides have long been a part of the day camp experience. Day camp aides provide a variety of skills, talents, and support to younger campers while continuing to develop their leadership skills in an adult supported and supervised environment.

Car transportation

If you want to be a day camp aide this summer, here’s what you need to do: Attend day camp Aide-in-Training week at Camp Sycamore Valley (for new day camp aides).

Parents should plan to drive their daughter to and from camp. Campers must be dropped off at camp no earlier than 8:30 a.m. and picked up no later than 4 p.m.

This training is designed to reinforce basic skills and to give a foundation for leading and working with younger girls in the outdoors. During the week, girls will also complete the Program Aide Training. Registered Girl Scouts must have completed 7th grade. Cost is $30. The fee of the training includes materials, a day camp T-shirt and patch.

Meals Each camper will bring their lunch on Monday, Tuesday and Wednesday. We will provide the meals for the rest of the week.

Volunteer staff benefits • • • •

Day Camp Aide-in-Training will be offered June 2-6. Training is Monday through Friday with an overnight on Thursday night. You must complete the entire week of training including the overnight to be qualified to become a day camp aide.

Attend day camp for free Waive the camp fee for the girl of your choice Receive a camp T-shirt and patch Make a difference in a girl’s life

To waive a camp fee, volunteers must attend a pre-camp meeting, attend day camp five full days (Monday through Friday), and stay on the overnight (Thursday night).

Experienced day camp aides and girls who have completed training may apply to be a day camp aide. The cost is $20 per session. The fee for day camp aides defrays meals, incidental expenses and includes a day camp T-shirt and patch.

Please understand that all adult volunteers are expected to volunteer Monday through Friday and stay on the overnight (Thursday night). This is for the safety and well being of our campers. No exceptions!

When to register Registration opens Friday, January 17

Volunteer staff training

How to register- four great options!

All day camp volunteers must attend the pre-camp meeting for the session(s) they are assigned to. At this meeting, volunteers will receive a day camp volunteer staff manual; receive unit assignments, unit lists, and unit schedules; learn about the specifics of the session; meet the people they will be volunteering with; and work with others to develop activities for their unit.

2. Mail registration and health history forms with full payment to: Attn: Camp Registration Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive, Suite 100 Indianapolis, IN 46214

1. Register online at girlscoutsindiana.org

3. Fax registration and health history forms with full credit card payment to: 317.931.3346.

Pre-camp meeting dates

4. Deliver registration and health history forms with full payment to a Girl Scout service center.

Camp Sycamore Valley Sessions 1-4: Saturday, May 31, 2-3:30 p.m.

Campers, day camp aides and aides-in-training need to complete the 2014 Day Camp Individual Registration Form.

2014 CAMP GUIDE

Camp Sycamore Valley � Day camp

Registration closes

Adult volunteers and tag-a-longs need to complete the 2014 Day Camp Volunteer Staff Registration Form.

Registration closes 2 weeks before the beginning of each day camp session or when the session is full, whichever is first.

• All participants (including adults and tag-alongs) must complete the 2014 Day Camp Health History Form.

Refund procedure The day camp fee does not cover the entire cost of your child attending camp. The remainder is covered by various funding sources that support Girl Scouts of Central Indiana. For this reason the refund policy is:

• Camp confirmations will be mailed to all participants (please do not call to check on placement). Registering with a buddy • Girls who want to sign up for a unit together must complete the Buddy Information section on the registration form and list each other’s name to guarantee placement together..

Refunds are given only if cancellation is received at least two weeks prior to sessions. $25 of fee will be retained for handling charges. Refunds are not given to no shows or campers leaving camp early due to personal reasons including homesickness, sports, family vacations, behavior, etc.

• Limit one buddy. Buddy must be entering the same grade in the fall. (Troops are not guaranteed to be placed in the same unit)

Multiple sessions

Questions and answers

There is no limit to the number of sessions each girl may attend (financial assistance is available for one session only). A separate registration form is required for each session. You may make copies of the form, download it from our website, or request a copy from your service center. You do not need to submit additional copies of the health history form.

What do I wear to day camp? Old clothes are the best and should include shorts or long pants, T-shirts or tank tops (no halters or midriffs), socks/shoes (closed-toe and heel only – no sandals), jacket or sweatshirt, raincoat or poncho if the weatherman predicts wet conditions.

Applying for financial assistance (PAG)

What do I bring to day camp each day? Bring these items daily to camp in a backpack or similar type bag. Mark the bag with the camper’s name, unit name, and bus stop name or “car rider.”

Girl Scouts of Central Indiana is committed to providing a positive experience to every girl who wants to be a Girl Scout. Program Assistance Grants are provided so that a family’s economic status will not be a barrier to participation.

• • • •

Hat or bandana Swim suit and towel Raincoat or rain poncho (if weather warrants it) A water bottle (bottles with a screw on lid are best; no bottles with straws please) • Sunscreen and insect repellent (non-aerosol) • Lunch for Monday - Wednesday

To apply, submit the Program Assistance Grant application with your camp registration form and health history form. A $10 deposit per girl is required. This deposit is not refundable unless your child cannot be placed into a session. Use a separate grant application per girl. Please do not mail in your PAG without your camp registration form. We can not process the PAG until the camp registration is received.

Is there anything my camper can't bring ? We do not allow any of the following at camp: • • •

All applicants will be notified by mail (in a separate letter from the confirmation packet) as to the approval of the request. All Program Assistance Grant information is kept strictly confidential. Grants are available for one camp session per girl.

Electronic devices (including cell phones and MP3 players) Weapons, alcohol or tobacco products Drugs (prescription and over-the-counter drugs must be turned into Camp Health Supervisor)

What do I bring if I am staying overnight on Thursday?

• • • •

Bring these items to camp in a duffle bag or similar type bag on Thursday. Place all items in a trash or water-resistant bag that the camper can carry. Please label all bags with the following information (duct tape and a permanent marker works best): Camper name (First and Last name), Unit name • Light weight sleeping bag or bedroll (blankets) • This year we are opening extra outpost units which means that some campers will be in tents. You will be informed prior to camp if your camper will be in one of these units. The tents will be provided but bedrolls will not. • Fitted, twin sheet (to cover mattress; girls in primitive units will not need this) • Pajamas or large T-shirt for sleeping in • Change of clothing, socks, underwear, etc. • Toothpaste, toothbrush, comb/hair brush

Towel, washcloth, soap Flashlight with new batteries Day pack items (carry daily – see list to left) Extra trash bag (labeled) for return trip home – many bags tear and a replacement is necessary

Typical day at camp 8:30-9 a.m.

Arrive at camp

9:15-9:30 a.m.

Flag ceremony

9:45-10:30 a.m.

Art projects

10:45-11:30 a.m.

Pool

11:45 a.m.-12:45 p.m.

Lunch

1-2:45 p.m.

Theme-specific activity

3-3:15 p.m.

Flag ceremony

3:30-4 p.m.

Depart camp

Day camp sessions Session #1: June 2-6 � Messy Mayhem � $80 Grades K-7

School’s out, it’s time to get messy! Do all the things adults told you not to do this week. Play with food, roll in the mud, paint with your fingers, and participate in the ultimate all camp messy mayhem extravaganza! We recommend wearing clothes you don’t mind getting a little dirty. Session #2: June 9-13 � Art in the Trees � $80 Grades K-7

Get in touch with both nature and art this week as you combine the two to create beautiful, natural masterpieces! Use the leaves and sticks on the ground to make a photo frame, firewood to draw a postcard camp scene, and more. Bring your artistic eye and love of nature. Session #3: June 16-20 � Lights, Camera, Action! � $80 Grades K-7

How do things work behind stage and on stage? This is your chance to dress up, clown around, and perform at Thursday night’s talent show night. This week is your week to shine! Session #4: June 23-27 � Pink Pals � $80 Grades K-7

Paint the world in pink! That’s right—everything is pink. Tie dye, crafts, food... and discover why breast cancer awareness is important to Girl Scouts of all ages. What's better than learning and having fun? Session #5: June 30-July 3 � Exploration: Space � $80 Grades 1-8

Do you look up at the stars and wonder about life in space? What can space travel teach us about life on earth? Take off on this week of exploration and discovery that will be out of this world. Take a closer look at the solar system, living systems, and rockets.

2014 CAMP GUIDE

Camp Sycamore Valley � Resident camp

Resident camp at Camp Sycamore Valley How to register

… is a camping experience for girls to live in the outdoors for five days. Girls from different troops and/or groups sign up as individual campers and are placed in units.

• Choose the camp session your camper would like to attend. Grade refers to grade camper will enter in fall 2014.

Camp sessions are open to all girls entering grades 2-8 in fall 2014. All girls who are registered Girl Scout members may attend. Girls who are no longer active in a troop or have never been members may attend camp by paying a one time fee of $30.* For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself.

• Complete one 2014 Resident Camp Individual Registration Form for each camper and session. Please print clearly. • If your camper wishes to attend more than one session, complete one registration form for each session. • Online registration is also available at girlscoutsindiana.org if you are using a credit card to pay the full amount.

*Includes Girl Scouts of the USA membership fee.

• Mail completed registration form with full or half payment to: Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive Suite 100 Indianapolis, IN 46214

Please fill out the girl member registration form in the back of this book along with the camp registration form.

OR fax completed forms with credit card information for full or half payment to 317.931.3346

Resident camp staff Members of our camp staff are enthusiastic, talented, fun-loving and caring individuals. They are selected based on their experience, ability to serve as role models and their genuine desire to work with children. Our staff is committed to creating a caring and supportive environment that respects each girl as an individual.

OR deliver completed forms and full or half payment to a Girl Scouts of Central Indiana service center. If applying for a Program Assistance Grant (PAG), please submit application with your registration form. A $10 deposit per girl is required.

Staff candidates are recruited from colleges and universities, local community agencies and referrals. Individuals must be at least 18 years old and complete a thorough application process which includes a background check. The health and safety of our campers is always the first priority of the staff.

• Full fee must be paid no later than: May 23 for all June camp dates. June 23 for all July camp dates. Failure to do so will result in loss of the reservation. • A confirmation packet including health form will be mailed to all registered individuals. • Any incomplete forms or registrations without payment will be returned. If forms must be returned to you for any reason, the receipt date for processing purposes will be based on the date in which complete forms and payment (or PAG form) is received in our office.

Staff training prior to camp includes supervising and caring for campers, activity programming, first aid and CPR, team building, and much more.

Car transportation Parents should plan to drive their campers to and from camp. Drop off and pick up times are:

When to register

Sunday drop off

3 - 4 p.m.

Registration opens on Friday, January 17.

Friday pick up

11:30 a.m.-12:30 p.m.

Registration closes Registration closes two weeks prior or when session is full.

Refund procedure

How may I contact my camper? May I visit or call her?

The fee for resident camp is not designed to cover the entire cost of a girl’s stay at camp. The remaining cost is covered by various funding sources that support Girl Scouts. For this reason the refund policy is as follows:

Parents and other family members may visit the camps during their designated open house. We do not accept visitors during resident camp as seeing a mom or dad may spark homesickness in many campers. Also, because telephone calls from home tend to increase the likelihood of homesickness, we ask that you refrain from calling camp. We need to keep our phone lines available for business and emergency purposes. We also ask that you do not allow your daughters to bring cell phones to camp. Parents may always call camp directors for an update on their daughter.

• Refunds are given only if cancellation is received two weeks prior to session. • $25 of fee will be retained for handling charges. The $10 deposit for PAG’s will not be refunded if we place your child in a program . • Refunds will not be given to campers who are no-shows or who leave camp early . No refunds will be made for a child leaving early regardless of the reason. We will try to place your camper in another session if she cannot attend camp due to a failed lice exam. If she cannot be placed, there will be no refund.

Questions and answers Can my daughter request to go to camp with a buddy?

As part of our check-in procedures, all campers must be seen at the infirmary on opening day.

Resident camping is about camping with friends, both old and new. Girls may request to stay in the same unit with one girl in the same session. Please write the buddy’s name in the appropriate space on the application. Requests must be mutual and only one buddy will be honored. Please mail in the two forms at the same time or we might not be able to place both girls in the same session. Because making new friends is also important, only one request per girl, per unit will be honored.

We will do a head and foot check and discuss any special needs with each camper. If your daughter is on medication, her counselors will administer her medication as noted on the bottle. Campers are required to turn in all medications, both prescribed and over-the-counter, in the original containers, to the health director on opening day.

What if my daughter has special needs?

Can I take my camper out of camp to play sports? Can I pick her up early?

At camp, we make every effort to allow all girls to enjoy our camp sessions. If you have concerns about your daughter’s ability to participate in our camp, please call us before registering her for camp. For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself. Routine activities include hiking at least two miles each day, showering and changing clothes by herself, and walking up and down sizeable hills possibly in the dark with a buddy. If your daughter cannot do these activities without help, we can suggest other camp opportunities that she might enjoy. Unfortunately, we cannot offer one-on-one helpers for campers.

We do appreciate all campers remaining in camp for the entire session. It is disruptive to your daughter and the other campers in her unit if you pick her up midway through her session and bring her back a day later. However, if you wish to take your camper out of camp, you will need to contact the camp director prior to or during check-in on the first day. Make sure you know what time your camper will need to be picked up and dropped off again.

2014 CAMP GUIDE

Camp Sycamore Valley ďż˝ Resident camp

How often do campers swim and shower?

How can I prepare my camper?

Weather permitting, all campers have the opportunity to swim and shower every day of their session with the exception of opening and closing days.

It is important for parents to talk with their camper about what to expect at camp this summer. Be sure to emphasize the good time she will have. The American Camp Association has great resources for parents available at campparents. org.

Will my daughter need money at camp? No, she will not have the opportunity to purchase anything while at camp. Snacks are free every afternoon and she will receive her T-shirt at the end of the session.

What is camp life like? All campers are expected to participate in all-camp kapers, including making their bed, maintaining their living area, and rotating responsibilities in the dining hall. Each camper is also responsible for her own personal care and grooming. Campers will sleep either in a unit house with their counselors in a separate room nearby, or in tents with the counselors in the unit. Also, campers will earn age-level appropriate Girl Scout recognitions.

What if my daughter gets homesick? Because homesickness is common at camp, especially for first time campers, our staff members are trained to provide a caring, supportive environment for your child. Homesickness usually passes in a day or two. Your encouraging attitude both before and during camp will help prevent homesickness. Please remember that campers who overcome homesickness have met a real challenge and can feel a sense of pride in themselves. If a camperâ&#x20AC;&#x2122;s homesickness should persist, the parents/ guardians will be notified by the camp director. More information on homesickness will be mailed with confirmations. Campers do not have access to phones and may not bring cell phones.

What are the age restrictions for the adventurous activities? Archery

9 years old

Climbing Wall

9 years old

Zip line

10 years old

Typical day at camp

What if the weather is bad? While at camp, every counselor is in touch with the camp director who has access to a weather radio. We are aware of any storms headed our way and have procedures in place to protect our campers. Some activities may be affected by weather, and in this case refunds are not issued. Please keep in mind that there is only one phone line that does need to be kept open during inclement weather in case of emergency.

7:15 a.m.

Wake up, showers (depending on unit)

8 a.m.

Opening flag ceremony

8:15 a.m.

Breakfast

9:30 a.m.

Morning activities (art projects, swimming, archery)

Noon

Lunch

What grade does my daughter need to be in to attend camp sessions at camp?

1:30 p.m.

Afternoon activities - nature hike, climbing, badges

The grades listed are the grades that your daughters should be going into in the fall. All campers must be in grades 2-8 to attend resident camp this summer.

4 p.m.

Afternoon break/snack

4:45 p.m.

Kapers, flag prep, or hopper duty

5:30 p.m.

Closing flag ceremony

6 p.m.

Dinner

7:15 p.m.

Evening activity

9 p.m.

Bedtime, showers depending on unit

Resident session We Are Family

Grades: 2, 3, 4, 5, 6, 7, 8 â&#x20AC;&#x153;Friends are the family we choose for ourselves.â&#x20AC;? This week at resident camp, learn what it takes to build and become a team, not only for sports but amongst your Girl Scout family. Spend time on the low ropes course and climbing wall, encourage each other during an all-camp tournament, create your own cabin flag, and more! Walk away with an autograph book full of memories of your new Girl Scout family. $180 July 6-11

2014 CAMP GUIDE

Camp Sycamore Valley � Troops Love Camping

Troops Love Camping at Camp Sycamore Valley Want to share summer camp with your Girl Scout troop? Then pack your bags and hop in the van because this is just for you! Troops Love Camping (TLC) is an experience for the whole troop. We will supply activities, supplies, and food for your troop, while you provide transportation and troops that love camping! Activities will be run by our camp staff so camping experience is not necessary.

How to register

Does your troop have what it takes to finish an obstacle course, concentrate on shooting an arrow, dance on stage, creek stompe or stay in the gaga pit? Troops Love Cmaping is getting fit! Learn what it takes to keep moving and eat healthy. Adult learning sessions will be available. Join us for an exciting camp experience with other troops from all over central Indiana while enjoying traditional camp activities like swimming, arts, and cooking out for a meal.

Or fax completed form with credit card information to 317.931.3346

Leadership

Any incomplete forms or registrations without payment will be returned. If forms must be returned to you for any reason, the receipt date for processing purposes will be based on the date in which complete forms and payment (or PAG form) is received in our office.

• Complete the 2014 Troops Love Camping registration form. • Mail completed form and full payment to: Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive, Suite 100 Indianapolis, IN 46214

Or deliver completed form and full payment to a Girl Scout service center. • If applying for a troop Program Assistance Grant (PAG), please submit it with your registration form. A $10 deposit per troop is required. • A confirmation packet will be mailed to all registered troops.

Each troop provides its own leadership through parents, leaders, and other family members. All adults must be registered Girl Scouts. A minimum of two adults must be in camp at all times. At least one must be 21 years of age; others may be 18 or older. Troops must meet adult to girl ratio per Safety-Wise.

Refund procedure The camp fee does not cover the entire cost of your child attending camp. The remainder is covered by various funding sources that support Girl Scouts of Central Indiana. For this reason the refund policy is:

During your stay we will provide activities and meals throughout the day and evening. The leaders’ responsibility will consist of supervising the girls at various activities, escorting them to the different places in camp, and providing programming for a small amount of down time.

• Refunds are given only if cancellation is received two weeks prior to sessions.

TLC fees – per person, per session

• $25 of fee per troop will be retained for handling charges. The $10 deposit for PAG’s will not be refunded.

Camper fee...................................................................... $80 Adult fee.............................................................................$20

• Refunds are not given to no shows or campers leaving camp early due to personal reasons including homesickness, sports, family vacations, behavioral issues, etc.

Camper fee includes T-shirt, camp patch, and one badge. All adults will receive a T-shirt and camp patch. Full payment is due at time of registration, unless applying for financial assistance.

TLC sessions Date

Days

Camper min/max

Monday - Wednesday Wednesday – Friday Monday - Wednesday Wednesday – Friday

40/160 40/160 40/160 40/160

July 14-16 July 16-18 July 21-23 July 23-25

Check-in is 3 p.m. and check out is noon for all sessions.

2014 CAMP GUIDE

Camp Na Wa Kwa � Family camp

Family Camp at Camp Na Wa Kwa Primitive camping site –Site includes fire ring, fire grate. Water available from a pump. No electricity. Fee $25/family

Here is a special opportunity for all Girl Scouts in central Indiana and their families! You are invited to get away from the crowds and busy highways to explore the beautiful campgrounds at Camp NaWaKwa. You’ll share a wonderful family experience, meet other Girl Scout families, and make new friends! We have planned some activities to complement your weekend of leisure.

Picnic area – available for day use. Someone in the family must be a registered Girl Scout member. A family consists of individuals living in the same household. Each family must bring their own equipment. No campers, trailers, or motor homes, no hookups. No pets, smoking or alcohol allowed.

Camp NaWaKwa Memorial Day - May 23-26

No refunds for family camp weekends.

Get away from the city lights and noises to enjoy a quiet weekend at Camp NaWaKwa, located 10 minutes from Lieber State Park and Cagles Mill Lake.

Complete the registration form and return it with check or money order* payable to Girl Scouts of Central Indiana. Mail to: Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive, Suite 100 Indianapolis, IN 46214

Lifeguards will be on duty at the swimming pool and for canoeing on the lake. Other activity options include the climbing wall, zip line, archery, and hiking along the fossil beds.

*You may also pay by Visa or MasterCard by completing the information on the registration form. When paying by charge, you may fax your form to the Girl Scout Service Center at Indianapolis at 317.931.3346.

Because we do not have unit houses at NaWaKwa, we will also offer an option to eat in our dining hall. Four tent units – three consist of eight platform tents. One consists of two platform tents and two yurts. All four units have access to a fire ring with sitting logs, kitchen shelter with picnic tables, running water, and pit latrine. No electricity. Fee: $40/family

Confirmations, additional information, and directions to camp will be mailed to you after your registration is received. If you have questions, call the Camping Services Department at 317.924.6800.

One Cabin unit– consists of eight platform cabins, fire ring with sitting logs, kitchen shelter with picnic tables, running water, and pit latrine. No electricity. Ramps to the cabins provide easy handicap access. Fee: $40/family

2014 CAMP GUIDE

Camp Dellwood � Day camp

Camp open house | Sunday, May 18 | 2-4 p.m. 2301 N Girls School Rd, Indianapolis, IN 46214

Day camp at Camp Dellwood …is an experience for girls from different troops and groups to meet outdoors each day. Girls attend as individual campers and are placed in units according to their grade in the fall. Please remember this is not troop camp and the entire troop will not be placed together in one unit. Attend day camp and make new friends!

Positions that are held by volunteers include directors, assistant directors, craft leaders, unit leaders, and assistant unit leaders. Won’t you please consider becoming a volunteer this summer? The camps also employ paid, seasonal personnel such as: health care supervisor, lifeguards, kitchen staff, tag-a-long unit staff, day camp aide instructors, bus monitors, and Math and Science Center staff.

Day camp is for all girls in grades K-7. Girl Scouts from other councils, as well as non-members, are welcome to attend day camp. Girls regardless of their ability, may attend the session of their choice at camp. Girls who are no longer active in a troop or have never been members may attend camp by paying a one time fee of $30.* For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself.

Day camp is not the same as troop camping. At day camp, you and one friend will be assigned to a unit where you can work and play together all week. Each girl should list the other’s name on their registration form to guarantee placement together. Girls and parents should agree on their camper’s buddy. Often a buddy’s name is listed, but that girl already has arranged to be buddies with someone else. Placement together will not be possible if more than one name or different names are listed. Troops are not guaranteed to be placed together. Troop members attending the same session are not guaranteed the same unit assignments. All girls are placed in a unit based on the grade they will be entering in the fall. Camp buddies should be in the same grade.

*Includes Girl Scouts of the USA membership fee. Please fill out the girl member registration form in the back of this book along with the camp registration form. There are day camp aide opportunities for girls entering grades 8 through 12. A day camp aide assists the adults in leading a unit of girls at camp. Volunteers make up most of the day camp staff.

Older girl leadership at day camp

Meals

If you want to be a day camp aide this summer, here’s what you need to do: Attend a day camp Aide-in-Training week at Camp Dellwood (for new day camp aides).

Lunches and snacks for each day will be provided. Thursday dinner, evening snack, and Friday breakfast are provided for those staying overnight. To ensure camper safety, food allergies and/ or special diets cannot be accommodated. No discount can be provided if a camper does not eat the camp meals or snacks.

This training is designed to reinforce basic skills and to give a foundation for leading and working with younger girls in the outdoors. During the week the girls will also complete the Program Aide Training. Registered Girl Scouts must have completed 7th grade. Cost is $30. The fee of the training includes materials, a day camp T-shirt and patch.

Transportation Bus riders: optional bus transportation is available. Girls may attend the session of their choice. However, transportation will only be provided according to the 2014 day camp bus transportation schedule per camp. Information will come via email a few days before each session with bus stop times. Typical bus pick up times fall between 7:15-8:30 a.m. and drop off times fall between 3:30-4:45 p.m. Bus stop selection can not be changed after being submitted with the registration due to the safety of the girls. Please note that bus transportation is not available on Thursday afternoons or Friday mornings due to the camp overnight. No price adjustment will be given if a girl chooses not to participate in the overnight.

Day Camp Aide-in-Training will be offered during the following day camp sessions: Camp Dellwood • Session 1, June 2-6 • Session 2, June 9-13 • Session 3, June 16-20 • Session 4, June 23-27 All trainings are Monday through Friday with an overnight on Thursday night. You must complete the entire week of training including the overnight to be qualified to become a day camp aide.

Car riders: parents may drive their daughter to and from camp. Campers must be dropped off at camp no earlier than 8:30 a.m. and picked up between 3:40-4 p.m.

Experienced day camp aides and girls who have completed training may apply to be a day camp aide. Applicants may apply for a maximum of four sessions. The cost is $20 per session. The fee for day camp aides defrays transportation, meals and incidental expenses. The fee also includes a day camp T-shirt and patch. You must attend all five days, including the overnight.

Day camp fees-per person Dellwood Camper fee.................................................. $105 Non-Girl Scout fee*........................................................$135 Day camp Aide fee........................................................... $20 Day camp Aide in Training fee.................................... $30 Tag-a-long program fee..................................................$25 Full payment is due at time of registration. All fees include a day camp T-shirt and patch. *Includes Girl Scouts of the USA membership fee. Please also fill out the girl membership form and the camp registration form in the back of the book.

2014 CAMP GUIDE

Camp Dellwood � Day camp

Become a day camp volunteer!

Do you enjoy the outdoors and have a passion for working with children? Are you physically able to walk around camp all day? If so, please consider volunteering at day camp this summer. Volunteers are the core of the day camp staff. This valuable learning experience would not be possible for the girls of central Indiana without volunteers. Interested parents and adults are invited to register. Each adult volunteer can send one girl to camp for free!

Staff training All day camp volunteers must attend the pre-camp meeting for the session(s) they are assigned to. At this meeting, volunteers will receive a day camp volunteer staff manual; receive unit assignments, unit lists, and unit schedules; learn about the specifics of the session; meet the people they will be volunteering with; and work with others to develop activities for their unit.

Volunteer selection The Camping Services Department in consultation with the day camp directors approve all registrations. The selection of staff is based on the qualifications of the applicant and the staffing needs of each session. For the safety of all campers, volunteers must be physically able to stand for long periods of time and walk on rough terrain All volunteers must be registered Girl Scout members and complete a background check. See forms provided.

Pre-camp meeting dates Camp Dellwood Session 1: Monday, May 19, 6-9 p.m. Session 2: Tuesday, May 27, 6:30-9 p.m. Session 3: Thursday, May 29, 7-9 p.m. Session 4: Tuesday, June 10, 6-9 p.m. Session 5: Monday, June 23, 6:30-9 p.m. Session 6: Wednesday, June 18, 6:30-9 p.m. Session 7: Tuesday, June 24, 6:30-9 p.m.

Tag-a-long program If you are a registered day camp volunteer attending all week and have a younger child, she or he may enjoy participating in the tag unit. Trained staff will provide activities on site for the child. Day camp volunteers can place a younger child in the tag unit for $25/child for the week. This fee includes a day camp T-shirt, patch, daily snack, meals on all days, bus transportation, and supplies. This fee cannot be pro-rated if your child does not stay every day. The tag unit is for the children of volunteer day camp staff only. Girls registering for the tag unit must be three through five years of age; girls who have completed kindergarten should register for day camp as a Girl Scout Daisy. Boys registering for the tag unit must be three to eight years of age. All children registering for the tag unit must be out of diapers.

Day camp skills training This training is highly recommended for first time adults planning to volunteer at Dellwood day camp this summer. Attending this training will orient you to Camp Dellwood, make you more familiar with your role at camp, and help you enjoy your volunteer week. We will take a walking tour of camp so you can learn your way around and recognize sites and landmarks. Participants will get hands-on training on equipment use, cleaning procedures, and fire building. Volunteers will also have to attend the pre-camp meeting for their specific session. Training will start at Camp Dellwood's Program Center. Camp Dellwood Thursday, May 29, 6-9 p.m. Tuesday, June 3, 6-9 p.m. Wednesday, June 25, 6-9 p.m. Tuesday, July 8, 6-9 p.m.

Volunteer staff benefits • • • •

Attend day camp for free Waive the camp fee for the girl of your choice Receive a camp T-shirt and patch Make a difference in a girl’s life

To waive a camp fee, volunteers must attend a pre-camp meeting, attend day camp five full days (Monday through Friday), and stay on the overnight (Thursday night).

When to register

Registering with a buddy

Registration opens Friday, January 17.

• Girls who want to sign up for a unit together must complete the Buddy Information section on the registration form and list each other’s name to guarantee placement together..

How to register- four great options! 1. Register online at girlscoutsindiana.org 2. Mail registration and health history forms with full payment to: Attn: Camp Registration Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive, Suite 100 Indianapolis, IN 46214

• Limit one buddy. Buddy must be entering the same grade in the fall. Troops are not guaranteed to be placed in the same unit.

Multiple sessions There is no limit to the number of sessions each girl may attend (financial assistance is available for one session only). A separate registration form is required for each session. You may make copies of the form, download it from our website, or request a copy from your service center. You do not need to submit additional copies of the health history form.

3. Fax registration and health history forms with full credit card payment to: 317.931.3346. 4. Deliver registration and health history forms with full payment to a Girl Scout service center. Campers, day camp aides and aides-in-training need to complete the 2014 Day Camp Individual Registration Form.

Camp fees

Adult volunteers and tag-a-longs need to complete the 2014 Day Camp Volunteer Staff Registration Form.

• All participants (including adults and tag-alongs) must complete the 2014 Day Camp Health History Form. • Camp confirmations will be emailed to all participants (please do not call to check on placement).

2014 CAMP GUIDE

Camp Dellwood � Day camp

Applying for financial assistance (PAG)

Questions and answers What do I wear to day camp?

Old clothes are the best and should include shorts or long pants, T-shirts or tank tops (no halters or midriffs), socks/shoes (closed-toe and heel only – no sandals or crocs), jacket or sweatshirt, raincoat or poncho if the weatherman predicts wet conditions.

What do I bring to day camp each day? Bring these items daily to camp in a backpack or similar type bag. Mark the bag with the camper’s name, unit name, and bus stop name or “car rider.” • • • •

All applicants will be notified via email with their confirmation packet as to the approval of the request. All Program Assistance Grant information is kept strictly confidential. Grants are available for one camp session per girl.

We do not allow any of the following at camp:

Registration closes

• • •

Registration closes 2 weeks before the beginning of each day camp session or when session is full, whichever is first.

Refund procedure

Electronic devices (including cell phones and MP3 players) Weapons, alcohol or tobacco products Drugs (prescription and over-the-counter drugs must be turned into Camp Health Supervisor)

What do I bring if I am staying overnight on Thursday?

The day camp fee does not cover the entire cost of your child attending camp. The remainder is covered by various funding sources that support Girl Scouts of Central Indiana. For this reason the refund policy is:

• Light weight sleeping bag or bedroll (blankets) • Fitted, twin sheet (to cover mattress; girls in primitive units will not need this) • Pajamas or large T-shirt for sleeping in • Change of clothing, socks, underwear, etc. • Toothpaste, toothbrush, comb/hair brush • Towel, washcloth, soap • Flashlight with new batteries • Day pack items (carry daily – see list on left) • Extra trash bag (labeled) for return trip home – many bags tear and a replacement is necessary

2014 CAMP GUIDE

Camp Dellwood � Day camp

Camp Dellwood day camp bus transportation To assist in determining the closest bus stop, addresses of bus stop locations are included in the schedule. Transportation is provided for service unit’s scheduled week only. If your camper is unable to attend the scheduled week, she

may attend any week, but transportation is not provided from your area. Note: If transportation is needed, she will need to use one of the bus stops listed under the particular session she plans to attend.

Session #1: June 2-6 � Connie Holzhausen, volunteer director � Sleeping Under the Snowflakes Service unit

Code

Bus stop location

Bus stop address

Center Grove

D1 D2

North Grove Elementary School Center Grove Elementary School

3280 W Fairview Rd, Greenwood 2455 S Morgantown Rd, Greenwood

Danwood

Danville Parks and Recreation

49 N Wayne, Danville

Redbud Wa-Di-O-Ni

D4 D5 D6 D7

Trafalgar Library Needham Elementary School East Side Elementary School Whiteland United Methodist Church

424 E Tower, Trafalgar 1399 Upper Shelbyville Rd, Franklin 810 E Main Cross St, Edinburgh 300 W Main St, Whiteland

Wagon Trail

Brentwood Elementary School

1630 E Oliver Ave, Plainfield

Woodland

Southwest Elementary School

619 W Smith Valley Rd, Greenwood

Aide-in-Training

Complete individual registration form

Session #2: June 9-13 � Jennifer Burke, volunteer director � Under the Sea Service unit

Code

Bus stop location

Bus stop address

Beech Grove

D10

Central Elementary School

64 N 10th Ave, Beech Grove

Carmel East

D11

Forest Dale Elementary School

10721 Lakeshore Dr W, Carmel

Glenns Valley

D12

Abraham Lincoln Elementary School

5241 Brehob Rd, Indianapolis

Hancock

D13

New Palestine High School

4485 Victory Ln (off US 52), New Palestine

D14

Greenfield Girl Scout House

230 W North St, Greenfield

Wa-Mo-Na

D15

Paul Hadley Middle School

200 W Carlisle St, Mooresville

Aide-in-Training

Complete individual registration form

Session #3: June 16-20 � Roberta Nance, volunteer director � Safari Service unit

Code

Carmel West

D16

Fulton

Bus stop location

Bus stop address

Towne Meadow Elementary School

10850 Towne Rd, Carmel

D17

Chapel Glen Elementary School

701 Lansdowne Rd, Indianapolis

Lourdes|Greater Irvington

D18

Marsh Supermarket

6243 E Washington St, Indianapolis

Manuka

D19 D20

Marsh Supermarket Hamilton Heights Elementary School

17901 River Ave, Noblesville 25150 SR 19, Arcadia

Warren

D21 D22

Hawthorne Elementary School Old Bethel United Methodist Church

8301 E Rawles Ave, Indianapolis 7995 E 21st St, Indianapolis

West Indy

D23 D24

William Penn School #49 K-Mart

1720 W Wilkins St, Indianapolis 6780 W Washington St, Indianapolis

Aide-in-Training

Complete individual registration form

Session #4: June 23-27 � Betsy Perkins, volunteer director � Sounds of Dellwood Service unit

Code

Bus stop location

Bus stop address

Acorn House Eagle Trails

D25 D26 D27

Barnes United Methodist Church Center for Inquiry, IPS 302 Lew Wallace School #107

900 W 30th St, Indianapolis 725 N New Jersey, Indianapolis 3307 Ashway Dr, Indianapolis

Hunter

D28 D29

Messiah Lutheran Church Pittsboro United Methodist Church

801 S Green St, Brownsburg 227 E Main St, Pittsboro

Mt. Vernon Trails

D30

McCordsville United Methodist Church

6247 Pendleton Pike, McCordsville

Sterling

D31

Boone County 4-H Fairgrounds

1300 E 100 S, Lebanon

Zionsville

D32

Zionsville Lions Club Park

115 S Elm St, Zionsville

Aide-in-Training

Complete individual registration form

Session #5: July 7-11 � Erica Morgan, volunteer director � Seuss on the Loose Service unit

Code

Bus stop location

Bus stop address

Decatur

D33

Decatur Middle School

5108 S High School Rd, Indianapolis

Fishers

D34

Fishers Elementary School

11442 Lantern Rd, Fishers

Hamilton Southeastern D35

Fall Creek Intermediate School

12011 Olio Rd, Fishers

Ke-Bert/Twinbrook

D36

First Trinity Lutheran Church

5321 E 42nd St, Indianapolis

Roadrunner

D37

Castleton United Methodist Church

7160 Shadeland Station, Indianapolis

(use lot at address above, NOT 71st and Shadeland)

8170 Hague Rd, Indianapolis

D38

Faith Presbyterian Church

Session #6: July 14-18 � Andrea Dillon, volunteer director � Survivor Service unit

Code

Bus stop location

Bus stop address

Carmel Central

D39

Smoky Row Elementary School

900 W 136th St, Carmel

Daisy

D40

Fairview Presbyterian Church

4609 N Capitol Ave, Indianapolis (use back 1/4 of parking lot)

Fountain Square

D41

Paul I. Miller School #114

2251 Sloan Ave, Indianapolis

Pike

D42

Lincoln Middle School

5353 W 71st St, Indianapolis

Potowatami

D43 D44

Nora Elementary School Eastwood Middle School

1000 E 91st St, Indianapolis 4401 E 62nd St, Indianapolis

Southport

D45

Southport High School

971 E Banta Rd, Indianapolis

Session #7: July 21-25 � Donna Killian, volunteer director � Dellwood University Service unit

Code

Bus stop location

Bus stop address

Avon

D46

Avon Intermediate School East

174 S SR 267, Avon

Franklin Township

D47

Franklin Township Middle School

6019 S Franklin Rd, Indianapolis

Jo-She-We

D48

Christ United Methodist Church, Westfield

318 N Union St, Westfield

Lawrence

D49 D50

Craig Middle School Belzer Middle School

6501 Sunnyside Rd, Indianapolis 7555 E 56th St, Indianapolis

Shelby

D51

Wal-Mart Supercenter Store

2500 Progress Pkwy, Shelbyville

Winding Trails

D52 D53

Crooked Creek Elementary School Spring Mill Elementary School

2150 Kessler Blvd W Dr, Indianapolis 8250 Spring Mill Rd, Indianapolis

2014 CAMP GUIDE

Camp Gallahue � Resident camp

Camp open houses Sunday, April 13 | 3-5 p.m. | Sunday, June 1 | 2-4 p.m. 2301 N Girls School Rd, Indianapolis, IN 46214

Resident camp at Camp Gallahue How to register

… is a camping experience for girls to live in the outdoors for three or more days. Girls from different troops and/or groups sign up as individual campers and are placed in units according to their desired session. The girls and their counselors plan activities, taking advantage of the opportunities available to them.

• Complete one 2014 Resident Camp Individual Registration Form for each camper and session. Please print clearly. • List a second and third choice only if your camper wants placed in those sessions. We will refer to those choices if we cannot place a camper in her first choice.

Campers! Start planning now for a summer you will never forget. Resident camp is an experience filled with excitement, delight, laughter, and friendship. For more information about the various camps, please visit our website at girlscoutsindiana.org.

• If your camper wishes to attend more than one session, complete one registration form for each session and number the forms in order of preference.

Resident camp staff

• Online registration is also available at girlscoutsindiana.org if you are using a credit card to pay the full amount.

Members of our camp staff are enthusiastic, talented, fun-loving and caring individuals. They are selected based on their experience, ability to serve as role models and their genuine desire to work with children. Our staff is committed to creating a caring and supportive environment that respects each girl as an individual.

• Mail completed registration form with full or half payment to: Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive Suite 100 Indianapolis, IN 46214 OR fax completed forms with credit card information for full or half payment to 317.931.3346

Staff training prior to camp includes supervising and caring for campers, activity programming, first aid and CPR, team building, and much more.

• Full fee must be paid no later than: May 23 for all June camp dates June 23 for all July camp dates Failure to do so will result in loss of the reservation.

• A confirmation packet including health form will be mailed to all registered individuals.

bus transportation. Please plan to arrive 15-20 minutes prior to pick-up and drop-off times. We will be conducting head checks before children will be allowed to board buses/vans. The buses must leave at the scheduled time to make it to the next stop on time. We will not be able to wait.

• Any incomplete forms or registrations without payment will be returned. If forms must be returned to you for any reason, the receipt date for processing purposes will be based on the date in which complete forms and payment (or PAG form) is received in our office.

Girl Scout Service Center at Kokomo 815 W Superior St, Kokomo

When to register

Sunday check-in Sunday bus leaves Friday drop off

• Registration opens in Friday, January 17.

Registration closes

11 a.m. 11:30 a.m. (bus to camp) 3 p.m. (bus from camp)

• Registration closes two weeks prior or when session is full.

Girl Scout Service Center at Lafayette 615 N 18th St, Lafayette

Refund procedure

Sunday check-in Sunday bus leaves Friday drop off

11:30 a.m. Noon (bus to camp) 2:30 p.m. (bus from camp)

Flying J Truck Stop in Spiceland Highway Location: I-70 Exit 123 5300 S State Road 3

• Bus fees are not refundable.

Sunday check-in Sunday bus leaves Friday drop off

12:15 p.m. 12:45 p.m. (bus to camp) 1:30 p.m. (bus from camp)

Girl Scout Service Center at Terre Haute 1100 Girl Scout Ln, Terre Haute Sunday check-in Sunday bus leaves Friday drop off

• Refunds will not be given to campers who are no-shows or who leave camp early . No refunds will be made for a child leaving early regardless of the reason. We will try to place your daughter in another session if she cannot attend camp for failure to pass the lice exam. If she cannot be placed, there will not be a refund.

Noon 12:30 p.m. (bus to camp) 1:30 p.m. (bus from camp)

Nora Elementary School 1000 E 91st St, Indianapolis (northside) Sunday bus check-in Noon Sunday bus leaves 12:30 p.m. (bus to camp) Friday drop off 1:45 p.m. (bus from camp)

Car transportation Parents are welcome to drive their campers to and from camp. Drop off and pick up times are:

Girl Scout Service Center at Indianapolis 2611 Waterfront Pkwy E Dr (west side of Building 1), Indianapolis

Camp Gallahue Sunday drop off 2 - 4 p.m. Friday pick up 11:30 a.m.-12:30 p.m.

Sunday bus check-in 12:45 p.m. Sunday bus leaves 1:15 p.m. (bus to camp) Friday drop off 1:30 p.m. (bus from camp)

Bus transportation Optional bus transportation is available. Qualified public carriers transport girls to and from Camp Gallahue. The bus fee is $30 per person. This fee is non-refundable, not included in the camp fee, and is $30 regardless if the camper is utilizing the bus for one-way or round-trip transportation. The following bus stops are used for resident camp

O’Malia’s Food Market 8904 S Meridian St, Indianapolis (southside) Sunday bus check-in 1:30 p.m. Sunday bus leaves 2 p.m. (bus to camp) Friday drop off 12:30 p.m. (bus from camp)

2014 CAMP GUIDE

Camp Gallahue � Resident camp

Questions and answers

cell phones to camp. Parents are always welcome to call the camp director for an update on their daughter.

Who may attend Girl Scout camp? Camp sessions are open to all girls entering grades 2-12 in the fall regardless of race, color, creed, or national origin. All girls who are registered Girl Scout members may attend. Girls who are no longer active in a troop or have never been members may attend camp by paying a one time fee of $30.* For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself.

What health precautions are taken? Is a physical exam required? All campers attending camp this summer must have a medical history form that has been signed by their doctor, which means they need to have been seen by a doctor in the last 24 months. A resident camp health history and exam form will be included in the camper’s confirmation packet. As part of our check-in procedures, all campers must be seen at the infirmary on opening day. We will do a head check and discuss any special needs with each camper. If your daughter is on medication, we will administer her medication as noted on the bottle. Campers are required to turn in all medications, both prescribed and over-thecounter, in the original containers, to the health director on opening day.

*Includes Girl Scouts of the USA membership fee. Please fill out the girl member registration form in the back of this book along with the camp registration form.

Can my daughter request to go to camp with a buddy?

What if my daughter has special needs?

At camp, we make every effort to allow all girls to enjoy our camp sessions. If you have concerns about your daughter’s ability to participate in our camp, please call us before registering her for camp. For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself. Routine activities include hiking at least two miles each day, living in a tent with steps, showering and changing clothes by herself, and walking up and down sizeable hills possibly in the dark with a buddy. If your daughter cannot do these activities without help, we can suggest other camp opportunities that she might enjoy. Unfortunately, we cannot offer one-on-one helpers for campers.

Can I take my camper out of camp to play sports? Can I pick her up early? We do appreciate all campers remaining in camp for the entire session. It is disruptive to your daughter and the other campers in her unit if you pick her up midway through her session and bring her back a day later.

How may I contact my camper? May I visit or call her?

During the horse session, how many lessons will she have? What might she learn about horses at camp?

Weather permitting, girls in Yearlings will go riding in the ring two times. They will also have two ground lessons. Campers in Hoofprints will be split into four riding groups. Each day, the groups will rotate through cleaning, tacking, and riding the horses. Each girl will have time to ride each day, not including opening day, closing day, and Sundays. Girls attending Ringmasters, and Mini Wranglers and Wranglers will also have time to ride each day. They will spend some of their time

at the barn learning more advanced horse care and do some trail riding. Yearlings will not leave the riding ring.

How often do campers swim and shower? Weather permitting, all campers have the opportunity to swim and shower every day of their session with the exception of opening and closing days.

Will my daughter need money at camp? No, she will not have the opportunity to purchase anything while at camp. She will receive her T-shirt at the end of the session. If, however, your daughter is in a session that will be traveling out of camp, you may send extra money along with her. We ask that your daughter does not bring an excessive amount, as her needs will be taken care of while attending camp. The money you send will be spent on anything she wants.

What if my daughter gets homesick? Because homesickness is common at camp, especially for first time campers, our staff members are trained to provide a caring, supportive environment for your child. Homesickness usually passes in a day or two. Please do not be alarmed if the first letter you receive from your daughter reflects her feeling of homesickness. It was probably written at a low time, and by the time you receive it your daughter is having a great time playing with her new friends. Your encouraging attitude both before and during camp will help prevent homesickness. Please remember that campers who overcome homesickness have met a real challenge and can feel a sense of pride in themselves. If a camperâ&#x20AC;&#x2122;s homesickness should persist, the parents/ guardians will be notified by the camp director. More information on homesickness will be mailed with confirmations. Campers do not have access to phones and may not bring cell phones.

What grade does my daughter need to be in to attend camp sessions at camp? The grades listed for each session are the grades that your daughters should be going into in the fall. All campers must be entering second grade or higher to attend resident camp this summer.

How can I prepare my camper? It is important for parents to talk with their camper about what to expect at camp this summer. Be sure to emphasize the good time she will have. The American Camp Association has great resources for parents available at campparents.org.

What is camp life like? All campers are expected to participate in all-camp kapers, including making their bed, maintaining their living area, and rotating responsibilities in the dining hall. Each camper is also responsible for her own personal care and grooming. Campers will sleep either in a unit house with their counselors in a separate room nearby, or in platform tents with the counselors in their own tent in the unit. Campers are given a voice in planning all activities, which could include art projects, swimming, cookouts, and campfire activities. Also, campers will earn age-level appropriate Girl Scout recognitions.

2014 CAMP GUIDE

Camp Gallahue ďż˝ Camp quiz

Are you ready for camp? Take the quiz and find out! Circle the answer that best describes you. Add up the numbers for your total score. 1 = NO WAY 2 = MAYBE

3 = FOR SURE!

FOR GIRLS: 1

You enjoy staying overnight at a friend's house.

You're good at being part of a team.

You shampoo and brush/comb your own hair.

When you see a bug, spider, or mouse, you don't like it, but you can handle it.

You make your own bed and keep track of your own things.

You love to make new friends and do things with other girls.

You like sleeping in an outdoor platform tent.

You like to help plan activities that you are participating in.

Walking to another building to use the bathroom and sink is no big deal.

You're okay sleeping in a tent with 3-4 other girls and an adult nearby.

You're willing to help with Kapers (camp chores: cleaning, setting tables, etc.).

You love singing songs, playing games having lots of fun!

You live by the Girl Scout Law.

You can't wait to get to camp!

FOR PARENTS: 1

You relax and enjoy yourself when your daughter is at a sleepover.

It would be fun only communicating by snail mail while your daughter is away.

You would be okay following the policies and procedures that apply to camp.

You're prepared to not see your daughter for several days.

1 2 3

You're comfortable with your daughter living and playing in an outdoor, rustic setting where it may rain and there are things such as bugs and spiders.

1 2 3

You're willing to work with your daughter to ensure she is comfortable with being more independent at camp than she might be used to.

1 2 3

You believe Girl Scout camp provides girls with a fun and rewarding experience that builds girls of courage, confidence, and character.

You trust the camp director and counselors with your daughter's safety.

You think your daughter would enjoy sleeping in a tent with 3-4 other girls.

You're confident in your daughter's ability to maintain her hygiene.

1 2 3

You're confident in your daughter's ability to make her own bed and keep track of her own things.

FOR GIRLS Typical day at resident camp

_______ TOTAL POINTS

7:15 a.m.

Wake up

If you scored: 14-25 points You're adventurous, but it might be a good idea for you to wait until next year to come to resident camp.

8:15 a.m.

Breakfast

9 a.m.

Opening flag ceremony

26-35 points You might enjoy a mini session or bring a buddy with you to camp. You'll feel more comfortable!

1:30 p.m. Afternoon activities (swimming, arts and crafts, nature)

Late afternoon showers, resting (depends on unit)

36-45 points You're a pro! We'll see you at camp.

6 p.m.

Dinner

7:15 p.m.

Closing flag ceremony

7:30 p.m.

Evening activity

9:30-10 p.m.

Lights out (depends on age)

9:30 a.m. Morning activities (arts and crafts, canoeing, nature) Noon

FOR PARENTS

Lunch

_______ TOTAL POINTS Typical day at horse camp

If you scored: 11-18 points It might be a good idea for your Girl Scout to wait until next year to come to resident camp. 26-35 points Your Girl Scout might enjoy a mini session or make sure she has a buddy to make her feel more comfortable. 36-45 points You and your Girl Scout are ready for this new adventure! You're confident in her abilities and willing to help her prepare. 33

6 a.m.

Wake up / breakfast (patrols take turns getting up early)

6:30 a.m.

Round up horses from pasture; take turns grooming, saddling, riding, cleaning bar

Noon

Lunch

1:30 p.m.

Swimming

2:30 p.m.

Afternoon activities (art projects, nature)

7:15 p.m.

Closing flag ceremony

7:30 p.m.

Showers and ground lessons at barn

9:30 p.m.

Lights out (depends on age)

2014 CAMP GUIDE

Camp Gallahue ďż˝ Resident camp

Resident camp sessions at a glance

Session 1 June 8-13

Ardath

Village

Hillcrest

Surf Divas

You Can't Do That at Camp

Best Day Ever

Grades 4-8

Grades 4-6

Grades 3-5 Hoofprints grades 6-8

Art Attack

Slumber Party

Pony Tales 1

Grades 4-8

Grades 5-8

Grades 3-5

Gallahue's Quarter Quell

Hawaiian Luau

Sampler 1

Grades 5-8

Grades 3-5

Goonies

Summer Fun

Pony Tales 2

Grades 4-8

Grades 3-5

Session 5 July 6-11

Under the Sea

Hagrid's First Years

Give Camp a Chance

Grades 4-6

Grades 2-5

Session 6 July 13-18

Kamp Katniss

Night Owls

Sampler 2

Grades 5-8

Grades 4-6

Grades 3-5

Session 7 July 20-25

Catching Fire

Under the Big Top

Aqua Sampler

Session 2 June 15-20

Session 3 June 22-27

Session 4 June 29-July 4

Grades 5-8

Grades 4-8

Grades 6-12

Grades 4-8

Reservation

Grades 3-5

Hoofprints 2 Buckmasters Grades 7-9

Yearlings Grades 4-8

Ringmasters Grades 7-10 Hoofprints Grades 6-8

Art Colony Harley's Hill

Valley

Valley 2

Valley 3

Grades 6-8

Wondering Adventures

Ringmasters

Junior Counselor

District Gallahue

Journey into the Wilderness 2

Grades 7-12

Grades 6-12

Grades 6-8

Discover Chicago

Junior Bronze Award

Grades 7-12

Grades 4-5

Hogwart's Express

Warrior Princess

Master Camp Chef

Grades 5-8

Grades 6-12

Grades 7-12

Camp Gallahue's Got Talent

Light's Out

Mini Sail/ Spinnakers

Camp Gallahue's Got Talent Grades 4-8

Grades 7-12 Blast off to Space Camp Grades 4-8 Project Camp Runway Grades 6-12

Journey into the Wilderness 1

Grades 6-9

Grades 7-10

Grade 12

In-spa-ration Grades 5-8

Grades 7-12

Ring Masters Trailblazers Grades 7-10

Junior Counselor Grade 12

Wranglers Grades 9-12

Snapshots Grades 6-12

Moonlight Mischief Grades 5-8

Mini Wranglers Grades 8-10

CIT Grades 10-11

Junior Counselor Grade 12

2014 CAMP GUIDE

Camp Gallahue � Resident camp

Mini sessions

Trip units

Give Camp a Chance

Blast off to Space Camp • 1 week

Grades: 2, 3, 4, 5 This three-day session is perfect if you've never been to camp before and just want to try it out. Spend two nights in Hillcrest and your days doing general camp activities like swimming and crafts. Units are smaller to give girls more of the attention they might need. This is a good stepping-stone from day camp to resident camp! Pick-up on Tuesday July 8 is between 7-8 p.m. Drop-off on Wednesday, July 9 is from 2-4 p.m. No bus service on Tuesday or Wednesday.

Grades: 4, 5, 6, 7, 8 Enjoy a trip to Huntsville Space Center! Enjoy a few days at Camp Gallahue with traditional camp activities. On Friday, you'll head to the space center where you will experience flight simulators and build your own rocket; explore the space shuttle; go to a hands-on lab; and spend the night in the Space Camp Habitats. You'll return to Camp Gallahue on Saturday evening and pick-up is on Sunday morning. There will be no bus transportation from camp.

$90

$315

Session 1: July 6-8

July 13-20

Session 2: July 9-11

Discover Chicago • 1 week

Just You and Me

$30/person

Grades: 7, 8, 9, 10, 11, 12 Visit Chicago and discover art, drama, water taxis, lots of shopping, and play in one of the great lakes! Chicago is a great city to visit in the summer, enjoy the Navy Pier, walking along the magnificent mile, and visiting Millennium Park—discover all of this and more. There is something for everyone to do! We will travel by school bus and stay in a hostel Monday through Thursday. End the week back at camp before you leave on Friday.

June 20-21

$315

Check-in: June 20 � 5-6 p.m.

June 22-27

Grades: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 Bring your favorite female adult with you to camp for the weekend. Swim, cookout, make crafts, and enjoy all camp has to offer. Sleep in platform tents in one of Camp Gallahue’s beautiful units. This is a perfect way to spend time together! To register, visit the activities finder at girlscoutsindiana.org.

Check-out: June 21 � 5 p.m.

Horse units

Hoofprints â&#x20AC;˘ 2 weeks Grades: 6, 7, 8 What could be better than being with a group of girls who love horses as much as you do? Learn riding skills and how to care for horses. Spend time each day grooming, tacking, riding horses, and learn the basics so you can move on to our more advanced horse activities. You'll also get to experience bareback riding, bathing horses, confidence-building games, and competing in a fun show! Don't forget all the traditional camp activities like camping out and swimming availble.

Girl Scouts of Central Indiana offers a wide range of horseback riding programs aimed to help girls experience the joy and adventure of this exciting sport. Whether a girl dreams of being an Olympian, riding in rodeo, or simply loves to ride horses every summer, campers will be taught in a safe and comfortable learning environment. Our instructors all have previous experience teaching horseback riding, and provide close and constant supervision during all aspects of the riding program.

$303

Emphasis in all programs and levels is on skill development, progression and expanding knowledge of horses and horse care. Girls will take part in the horse care and management by feeding, cleaning and grooming. Within their registered program, campers are placed in classes based on their skill level. Classes are kept small with a ratio of at least 1 instructor to 6 campers. Campers in riding programs will also participate in other camp areas and activities.

Session 1: June 8-20 Session 2: July 13-25

Hoofprints 2 Buckmasters â&#x20AC;˘ 2 weeks Grades: 7, 8, 9 If you mastered Hoofprints, you're ready for Buckmasters! Get more experience with riding, controlling, and handling a horse. Learn skills for more advanced sessions in the future. Spend the morning with the horses and your afternoon at the lake, doing crafts, or archery. $303 June 22-July 4

Mini Wrangler â&#x20AC;˘ 2 weeks Grades: 8, 9, 10 Let's hit the trails! If you have completed Hoofies and Ringmasters, you are ready for more trail riding with the horses. Be prepared to do overnight trips, as well as exploring trails within and surrounding Gallahue. You must be able to trot and handle a horse on your own. Note: You must take the proficiency test at the Camp Gallahue open house on Sunday, June 1, 2-4 p.m. The Mini-Wrangler proficiency test includes control of the horse at a walk, trot, and canter; hands, body position, saddle; and bridle a horse, seat, leg. $303 July 13-25

2014 CAMP GUIDE

Camp Gallahue � Resident camp

Ponytails • 1 week Grades: 3, 4, 5 Are you horse crazy? Explore the world of horses at this beginner horse session for younger girls. Ride twice, plus learn all about horses and participate in other camp activities like swimming, art projects, and cooking out. This unit will stay in Hillcrest, our indoor facility with three wings, electricity and flush toilets. $190 Session 1: June 15-20 Session 2: June 29-July 4

Ringmasters • 2 weeks Grades: 7, 8, 9, 10 Are you interested in becoming a better rider? Ringmasters is for girls who have completed Hoofprints, and are interested in learning more and becoming more independent with horses . Learn to canter, trail ride, and become more familiar with the care of a horse. Try bareback riding, bathing horses, confidence-building games, and competing in a fun show!

Wranglers

$303

Grades:9, 10, 11, 12 If you loved the Mini Wranger trip and can't wait to spend more time on a horse, this is it! Spend a week away from Camp Gallahue camping, bonding with your horse, trail riding, eating on the trail, and participating in a cattle drive. There will also be a hayride, bonfire party, and time to relax! Successful completion of the pre-camp proficiency test is mandatory for admittance into the session. You must take the test at the Camp Gallahue open house on June 1, 2-4 p.m.

Session 1: June 8-20 Session 2: July 13-25

Ringmasters Trailblazers • 2 weeks Grades: 7, 8, 9, 10 Have you already been to Hoofprints and Ringmasters, but aren't quite old enough for Mini Wranglers? In this session, work on more trail riding skills, as well as more advanced riding in the ring. Play games on horseback and compete in a fun show!

$303 July 6-11

$303

Yearlings • 1 week

June 22-July 4

Grades: 4, 5, 6, 7, 8 Enjoy two ground lessons where you learn the basics of caring for a horse and two riding lessons to test your new skills. This is a good starting point for young campers who want to learn more about horses! $190 July 6-11

Themed camp sessions

Catching Fire • 1 week Grades: 6, 7, 8, 9, 10, 11, 12 Are you ready to compete for the 75th Hunger Games? Even if you didn’t make it to our games last summer, you can still come and compete for the title of victor. This time our games will focus on the lake. "May the odds be ever in your favor!"

denotes a session that is new this year

Art Attack • 1 week Grades: 4, 5, 6, 7, 8 Art fanatics, you'll love this week at camp! Spend your free time making all your favorite camp crafts from bead making to tie dying to making our own piñatas. Enjoy traditional camp activities, too.

$180 July 20-25

$180

CIT • 2 weeks

June 15-20

Grades: 10, 11 The counselor-in-training (CIT) program is for girls who are going into 10th grade in the fall and want to learn leadership skills to work with younger Girl Scouts. Improve your knowledge of outdoor activities and help younger girls enjoy their camp experience! Week one will focus on learning leadership skills and go on an overnight hiking trip near camp for team building. Week two you will help out in different areas of camp while still experiencing camp as a camper!

Aqua Sampler • 1 week Grades: 3, 4, 5 Enjoy this fun introduction to the aquatic world swimming, canoeing, sailing, and fishing! This unit will live in Hillcrest, an indoor facility. Hillcrest has three wings, with electricity and flush toilets. $180 July 20-25

$193

Best Day Ever • 1 week

July 13-25

Grades: 3, 4, 5 Each day participate in activities like making glowing lanterns from Tangled, archery like Merida from Brave, ride a horse like Mulan; go swimming and canoeing in the lake, have a camp fire in the valley. Each day will be the best day ever! Stay in Hillcrest, which has three wings, with electricity and flush toilets.

Cookie Getaway • 1 week Grades: 4, 5, 6, 7, 8, 9, 10, 11, 12 Take a trip to Savannah, Ga. with top cookie sellers! Registration for any remaining spots will open to all girls after April 1. Go white water rafting in Gatlinburg, Tn., and enjoy a dolphin cruise, exploring Tybee island, and visiting the birthplace of Juliette Gordon Low. You must be able to travel comfortably with staff and volunteer chaperones. Adult space is limited to six registered volunteers. For more information and to register, please contact Ashley Pasch, product sales manager.

$180 June 8-13

Camp Gallahue’s Got Talent • 1 week

$575/person

Grades: 4, 5, 6, 7, 8, 9, 10, 11, 12 This week is all about your talents! Compete in a camp singing contest lip syncing or singing your favorite song, a variety show, and all sorts of other crazy acts. End the week with your unit bringing all these acts to dinner and performing them for the whole camp. Enjoy traditional camp activities, too.

July 16-20 Savannah, Ga. Contact: Ashley Pasch

$180 Session 1: June 8-13 (Grades 4-8) Session 2: July 6-11 (Grades 7-12)

2014 CAMP GUIDE

Camp Gallahue � Resident camp

District Gallahue • 1 week

Hawaiian Luau • 1 week

Grades: 6, 7, 8, 9, 10, 11, 12 You’ve read the books, seen the movie, now experience the excitement for yourself! Learn survival skills and then go on a hunt to sleep out in camp overnight by finding your equipment. Work as a team to get more goods. Learn what survival skills you need to prepare yourselves. Bring your skills to the group to help everyone stay together. Remember “May the odds be ever in your favor!”

Grades: 5, 6, 7, 8 Let’s take a trip to Hawaii! Enjoy a luau party, make shell necklaces, and surf on stand up paddle boards. Decorate your unit to look tropical and take in all the beach and lake have to offer along with all traditional camp activities. $180 June 22-27

$180

Hogwart’s Express • 1 week

June 15-20

Grades: 5, 6, 7, 8 Hogwarts will come to life this week at Camp Gallahue. Explore the world of Harry Potter. If you love potions, sorting hats, and Quidditch, this is the session for you. Enjoy plenty of swimming and other camp activities, too!

Gallahue’s Quarter Quell • 1 week Grades: 5, 6, 7, 8 Are you ready to compete for the 75th Hunger Games? Even if you didn’t make it to our games last summer, you can still come and compete for the title of victor. This time our games will focus on the lake. "May the odds be ever in your favor!"

$180 June 29-July 4

$180

In-SPA-ration • 1 week

June 22-27

Grades: 5, 6, 7, 8 Pamper yourself this week as your unit turns into a spa. Relax with soothing music and enjoy activities like massages, facials, aromatherapy, water aerobics, and yoga. Enjoy plenty of swimming and other camp activities, too!

Goonies • 1 week Grades: 4, 5, 6, 7, 8 Explore Camp Gallahue for the pirate’s loot! As a P.I.T. (pirate-in-training) you'll learn and practice the most important piratical skills: shrinking heads, making maps, hunting buried treasure, climbing the rigging, and having a shipwreck breakfast!

$180 June 22-27

$180 June 29-July 4

Hagrid’s First Years • 1 week Sessions fill quickly … register early! Check our website before you register to find out which sessions are still available. It is updated daily.

Grades: 4, 5, 6 Harry Potter fans—you'll love this! Take Care of Magical Creatures, Potions, and Herbology classes. Top off the week with a game of Quidditch. Enjoy other activities such as swimming, canoeing, archery, and art projects. $180 July 6-11

Junior Counselor • 2 weeks

Journey into the Wilderness • 1 week

Grades: 12 This year there is a new format for Junior Counselors. As a high school senior, you can choose which two-week session to come to and live in your own unit. Start off with special training, including team building, camp rules, and outdoor living skills. Using these skills, you will help run camp in different areas and still get a little camp time of your own! This is a perfect transition from CIT to becoming a counselor after you graduate from high school. You may sign up for more than one session. Fee includes T-shirt, camp picture, and other camp materials. Option for lifeguard and small craft certification will be available.

Grades: 6, 7, 8, Spend time at camp while completing all the requirements for a Journey! We will work on It’s Your Planet—Love It! in the first week and It’s Your World—Change It! the second week. Weeks are not continuous; you can come to one or the other, or both! Price is for one week. $180 Session 1: June 8-13 Session 2: June 15-20

Lights Out • 1 week

$90/two-week session.

Grades: 6, 7, 8, 9 Find out what happens at camp after the sun goes down with night activities. Enjoy star-gazing, night canoeing, games, and traditional camp activities!

Session 1: June 8-20 Session 2: June 22-July 4 Session 3: July 13-25

$180

Junior Bronze Award • 1 week

July 6-11

Grades: 4, 5 Earn your Girl Scout Bronze Award and go to resident camp at the same time! Take a week to spend at camp doing all your favorite activities, while working toward your Bronze Award. Imagine what you can accomplish when you team up with others and use your special skills and interests to take action and make a difference in the world!

Master Camp Chef • 1 week Grades: 7, 8, 9, 10, 11, 12 If you like cooking and challenges, try to be the master chef of Camp Gallahue. Take the challenge and cook a meal with mystery ingredients. The judges will taste your dishes and award the winners. Enjoy traditional camp activities, too.

$180

June 22-27

June 29-July 4

Kamp Katniss • 1 week

Mini Sail • 1 week

Grades: 5, 6, 7, 8 You’ve read the books, seen the movie, now come experience the excitement for yourself! Work with your unit to learn survival skills to help prepare for an overnight in camp. Work as a team to get more goods. Bring your skills to the group to help everyone stay together. Remember “May the odds be ever in your favor!”

Grades: 7, 8, 9, 10, 11, 12 Feel the wind in your face as you learn the basics and beyond about sailing, including the difference between a jib and when to jibe. Participate in the Gallahue Regatta, and sail over to the point on the lake for a cookout. Enjoy traditional camp activities during the week, too. $180

$180

July 6-11

July 13-18

2014 CAMP GUIDE

Camp Gallahue � Resident camp

Moonlight Mischief • 1 week

Slumber Party • 1 week

Grades: 5, 6, 7, 8 Are you a night owl? Do you like to stay up a little later than others? Would you like to go canoeing in the dark? Play tricks on the camp counselors? Explore camp at night and traditional camp activities during the day!

Grades: 5,6,7,8 Popcorn, stargazing, campfires, and s’mores! Stay up late to star gaze, enjoy a spa night, and sleeping in. Have a slumber party under the stars with all of your new camp friends. $180

$180

June 15-20

July 20-25

Snapshots • 1 week

Night Owls • 1 week Grades: 4, 5, 6 Discover Gallahue at night with night hikes, canoeing in the dark, and stargazing. Explore bat calling, nighttime kickball, flashlight tag, and more!

Grades: 6, 7, 8, 9, 10, 11, 12 Spend the week taking pictures, scrap booking, and making other crafts with your photos. We can supply a digital camera or bring your own. Enjoy traditional camp activities, too.

$180

July 13-18

Project Camp Runway • 1 week

Spinnakers • 1 week

Grades: 6, 7, 8, 9, 10, 11, 12 Are you into fashion? Do you like to design? Each day you will be given a project to make; it might be a dress costume or a puppet, maybe even jewelry. Present your design in a runway competition. Enjoy traditional camp activities, too!

Grades: 7, 8, 9, 10, 11, 12 For those of you who have already done Mini Sail, here is the next step! Now that you are familiar with the basics, take your sunfish sailboat out and really let the sails out and fly with the wind! Do you know what a spinnaker is?

$180

July 20-25

July 6-11

Sampler • 1 week

Summer Fun • 1 week

Grades: 3, 4, 5 Sample camp activities for six adventurefilled days. Try hiking, swimming, a morning of horseback riding, and camping out. This is the perfect session for first-time campers. Samplers will stay in Hillcrest an indoor facility with three wings, electricity and flush toilets.

Grades: 4, 5, 6, 7, 8 Sample everything Gallahue has to offer. This includes one morning of horseback riding, swimming, canoeing in the lake, hiking, cooking out, and making crafts. Having fun at camp is what this week is all about! $180

$180

June 29-July 4

Session 1: June 22-27 Session 2: July 13-18

Surf Divas • 1 week Grades: 4, 5, 6, 7, 8 Be a lake diva and spend your time at the beach. Try stand up paddle boarding or windsurfing, canoeing, kayaking, and sailing around the lake. Watch a movie on the beach, cookout at the point, and make tie dye beach wear! $180 June 8-13

Under the Big Top • 1 week Grades: 4, 5, 6, 7, 8 Perform a circus for the rest of camp with your unit! Juggle or spin plates, try dressing like a poodle and do dog tricks. This week will be the greatest show on earth. Enjoy traditional camp activities, too. $180 July 20-25

Under the Sea • 1 week

Wandering Adventurers • 2 weeks

Grades: 4, 5, 6, 7, 8 Spend time at the lake swimming, boating, and snorkeling. This week will keep you in the cool waters discovering seashells, playing games in the water, watching movies on the beach, and cooking out in a canoe.

Grades: 7, 8, 9, 10, 11, 12 Do you want to spend two weeks at camp, but aren’t into horses? Are you into trying new things? Ride your bike to Lake Lemon, hike the Tecumseh trail from Morgan Monroe State Forest, and spend the night on the trail. Take time to windsurf or kayak on the lake. Spend two weeks learning that you are an adventurer! You must bring your own bike. Back packing equipment will be provided.

$180 July 6-11

Warrior Princess • 1 week

$240

Grades: 6, 7, 8, 9, 10, 11, 12 Welcome to Gallahue forest, home of the famous bandit Robyn Hood and her band of merry women. This week has it all: royal banquets, festivals, dinner in the lair of the merry women, archery tournaments, and more!

June 8-20

You Can’t Do That at Camp • 1 week Grades: 4, 5, 6 Did you ever want to make a huge fort to sleep in? Or wear your pajamas all day? Have a mud fight? Do all this and more for an entire week! You will be able to plan with your group new and crazy things to do at camp. Let your imagination run wild.

$180 June 29-July 4

$180 June 8-13

2014 CAMP GUIDE

Camp Gallahue � Family Camp

Family camp weekend at Camp Gallahue Picnic area – available for day use.

Here is a special opportunity for all Girl Scouts in central Indiana and their families!

Hills of Gallahue trail – provides a rugged seven and a half-mile trail through the hills of Brown County. After hiking the trail, The Hills of Gallahue patch is available for purchase from any Girl Scouts of Central Indiana Showcase.

You are invited to get away from the crowds and busy highways to explore the beautiful campgrounds at Camp Gallahue. You’ll share a wonderful family experience, meet other Girl Scout families, and make new friends! We have planned some activities to complement your weekend of leisure. .

Someone in the family must be a registered Girl Scout member. A family consists of individuals living in the same household.

Camp Gallahue

Each family must bring their own equipment and food. No campers, trailers, or motor homes, no hookups. No pets, smoking or alcohol allowed.

Labor Day - Aug 29-Sept 1 Enjoy the lovely hills and valleys of Camp Gallahue. This beautiful resident/troop camp is located in Brown County.

No refunds for family camp weekends. Complete the registration form and return it with check or money order* payable to Girl Scouts of Central Indiana. Mail to:

Lifeguards will be on duty at the waterfront for swimming, canoeing, open kayaking, and fishing.

Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive, Suite 100 Indianapolis, IN 46214

Hillcrest – three wings; each wing has either 12 or 14 beds, private restrooms, showers, and modern kitchen. Fee per wing: $100

*You may also pay by Visa or MasterCard by completing the information on the registration. When paying by charge, you may fax your form to the Girl Scout Service Center at Indianapolis at 317.931.3346.

Four tent units – units consist of a large activity cabin with ten nearby platform tents for sleeping and pit latrines. Cabins have modern kitchens and substantial activity space to be shared by families staying in the unit, for get-together, cooking, etc. Fee per family $40

Confirmations, additional information, and directions to camp will be mailed to you after your registration is received. If you have questions, call the Camping Services Department at 317.924.6800.

Adirondack unit (Harley’s Hill) – three sided shelter for sleeping, picnic style shelter with tables, a pit latrine, and a fire bowl. No electricity or water. Fee per family:$25 Primitive camping sites – unlimited site capacity. Sites include fire bowls, fire grates and picnic tables. Water available from a pump located in the center of the valley. No electricity. Fee per family: $25

2013 Day camp individual registration form Name of parent/guardian___________________________________________________________________________________ Home phone ________________________ Work phone_______________________ Cell phone_________________________ Email address__________________________________ Address____________________________________________________ City____________________________________________ State________ County__________________ ZIP_________________ Emergency contact: Name___________________________________________________________ Relationship_____________________________ Primary phone____________________________________Secondary phone_______________________________________ My daughter is under the custodial care of:

q Both parents q Mother only q Father only q Other _______________________________________________ Camper’s name_____________________________________________________________ Birth date_____________________ Grade in fall_______________________________ Shirt size (specify youth or adult size)______________________________ Parent permission: I give my daughter, ________________________________, permission to participate in all phases of the Girl Scouts of Central Indiana day camp program. I understand the arrangements as stated in the camp information. I will not allow her to attend camp if she has been exposed to any contagious disease, and will notify the camp director if this is the case. In an emergency, when neither I nor the emergency contact person named can be reached, I hereby authorize the camp director to take any action deemed necessary for the best interests of my daughter. I understand that part of the learning experience of day camp is living with peers; therefore, there is no visitation during sessions. I give permission for out of day camp travel when it is part of the day camp program. I give permission for all photos and videos of my daughter at day camp to be used for public relations purposes for Girl Scouts of Central Indiana. Signature of parent/guardian___________________________________________________ Date______________________ Are you currently a registered member of Girl Scouts of Central Indiana?

Fee waiver information Name of adult volunteering to work at day camp who is responsible for waiver of fee

q Yes, troop #___________ Service unit______________

__________________________________________________ Program Assistance Grant (PAG) Information

q Yes, Juliette (individual Girl Scout) q No, non-Girl Scout

Is financial assistance needed? q Yes q No

q Out of council

If yes, include PAG application and $10 deposit.

Council name____________________________________

Disabilities

Additional information (optional for statistical purposes only)

q Please check if you need American Disabilities Act

assistance. Explain_________________________________

Camper’s racial background

__________________________________________________

q American Indian or Alaskan Native

__________________________________________________

q Black or African American q White

Buddy information (campers only) Name one friend (first and last name ) that you want in your unit.

q Other (Specify_______________________________ )

__________________________________________________

Camper’s ethnic background

Grade in fall (must be same as camper’s)_____________

q Hawaiian or Pacific Islander

q Hispanic or Latina q Not Hispanic or Latina

2014 CAMP GUIDE

Forms

Day camp individual registration form continued Day camp aides only With what age girls do you prefer to work with? q Girl Scout Daisy (Grades K-1)

Session information (check one) q Butler q Dellwood q Sycamore Valley q Grant County q Bloomington q Mounds

q Girl Scout Brownie (Grades 2-3) q Girl Scout Junior (Grades 4-5)

Session number: (circle one) 1 2 3 4 5 6 7

Leadership training

Date of session_____________________________________

Please indicate year training occurred: Program Aide

________________

Check one: q Camper q Day camp aide q Day camp Aide-in-Training

Gettin’ Crafty

________________

Transportation (Dellwood only)

Fires, Flashlights, and Fun

________________

Energetic Endeavors

________________

Day camp Aide-in-Training (AIT)

________________

Day camp Aide Training day

________________

LIT/CIT

________________

Other Girl Scout training

________________

Check one: q Car rider q Bus rider If bus rider, bus stop code___________________________ Bus stop location___________________________________

Health history forms must also be attached for registration to be processed.

Payment information:

q MasterCard q Visa q American Express q Discover

(American Express, Discover can not be used for online registration. Registration must be completed on paper registration form.) Card number _______________________________ Expiration date__________ Amount to be charged $________________ Name of credit card holder____________________________________ Signature____________________________________

Visit our website for online registration • girlscoutsindiana.org Additional forms are available at any Girl Scout service center by calling 317.924.6800 or 855.GSCIN.4U, on our website at girlscoutsindiana.org, or forms may be duplicated.

For office use only Receipt to:

Amount enclosed

10-83-6230-3112 (Dellwood)

q Cash

Day camp

10-83-6230-3612 (Sycamore Valley) 10-58-6220-2050 (Butler)

q Check # q Charge

$__________________________

___________________________

2014 Day camp volunteer staff registration form Adult’s name______________________________________________________________________________________________ Birth date_______________________________________ Gender: q male q female Shirt size_________________ Position of interest: Please check the position you are interested in: q Unit leader q Assistant unit leader

Address______________________________________________________________ City_________________________________ State___________County_______________________________ ZIP_____________ E-mail address_______________________ Home phone _______________________Work phone_________________________ Cell phone________________________ Authorization section: I give permission for all photos and videos of me at camp to be used for public relations purposes for Girl Scouts of Central Indiana. I understand that I must contact the Camping Services Department or the camp director immediately if I am unable to attend camp. Signature ____________________________________________________________________ Date________________________ Transportation

Disabilities

If bus rider, bus stop code___________________________

assistance. Explain_________________________________

Check one: q Car rider q Bus rider (Dellwood only) q Please check if you need American Disabilities Act __________________________________________________

Bus stop location___________________________________

Do you wish to be in the same unit as your daughter?

Session information Check one:

q Yes q No

q Dellwood q Sycamore Valley

Daughter’s name___________________________________

Session number: (circle one)

You will be assigned based on the needs of the day camp session, not necessarily with your daughter.

1 2 3 4 5 6 7

q Girl Scout Daisy (kindergarten-1)

You are required to be a registered Girl Scout member to work as day camp volunteer staff. Are you currently a registered member of Girl Scouts of Central Indiana?

q Girl Scout Junior (Grades 4-5)

q Yes, Juliette (individual Girl Scout)

Date of session_____________________________________ With what age girls do you prefer to work with?

q Yes, troop #___________ Service unit______________

q Girl Scout Brownie (Grades 2-3)

q No, non-Girl Scout

q Girl Scout Cadette (Grades 6-8)

Out of council

Fee waiver information Name of the girl you are waiving the day camp fee for:

Council name____________________________________ If no, submit an adult membership registration form, volunteer application, and $15 with camp registration.

__________________________________________________ Return your application and the above girl’s application together.

Experience and skills

To waive the total camp fee for your daughter or Girl Scout of your choice, you must attend the pre-camp meeting, attend camp Monday through Friday, and stay on the overnight (Thursday night).

Have you worked day camp before? q Yes q No

If yes, what years?__________________________________ Position(s) held____________________________________

2014 CAMP GUIDE

Forms

Day camp volunteer staff registration form continued What skills do you have?

q Crafts q Firebuilding q Nature q Knots q Songs q Compass q Game q Outdoor cooking q Additional areas not listed_______________________________________________________________________________ Stop here unless you are registering tag-a-longs. Day camp tag-a-long registration

3. q Girl q Boy

The tag unit is for children of adults working as camp volunteers only. Name of child / children registering for tag unit:

1. q Girl q Boy

assistance. Explain________________________________

Date of birth__________Grade (fall 2014)__________

q Please check if you need American Disabilities Act

Shirt size __________

_________________________________________________

Date of birth__________Grade (fall 2014)___________

2. q Girl q Boy

Shirt size __________

_________________________________________________

Shirt size __________

If yes, which child? Please list the number beside the child’s name from above #__________.

Date of birth__________Grade (fall 2014)___________

Parent permission: I give my child (children), _________________________________________________, permission to participate in all phases of the Girl Scouts of Central Indiana day camp tag-a-long program. I understand the arrangements as stated in the camp information. I will not allow my child (children) to attend camp if my child (children) has (have) been exposed to any contagious disease, and I will notify the camp director if this is the case. In an emergency, when neither I nor the emergency contact person named can be reached, I hereby authorize the camp director to take any action deemed necessary for the best interests of my child (children). I give permission for all photos and videos of my child (children) at day camp to be used for public relations purposes for Girl Scouts of Central Indiana.

Signature of parent/guardian_____________________________________________________ Date_____________________ Payment Information Number of children=_______ x $25 =____(Total amount due)

q MasterCard q Visa q American Express q Discover

(American Express, Discover can not be used for online registration. Registration must be completed on paper registration form.) Card number ________________________________ Expiration date___________ Amount to be charged $_____________ Name of credit card holder_________________________________ Signature______________________________________

For office use only Receipt to: 10-83-6230-3112 (Dellwood) 10-83-6230-3612 (Sycamore Valley)

Amount enclosed

$________________________

q Cash

q Check # q Charge

_________________________

Month/Day/Year

HISTORY FORM 1 Health History Form

q Butler q Dellwood q Sycamore Valley q Grant County q Bloomington q Mounds

Camper Name: _____________________________________________________________ First

Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses

ATTN: Sharon Wilson 2611 Waterfront Pkwy E Dr Ste 100 Indianapolis, IN 46214 swilson@girlscoutsindiana.org 317.931.3346

� Male

� Female

Middle

Birth Date ____________ Month/Day/Year

Last

Age on arrival at camp: ________

To Parent(s)/Guardian(s): Please follow the instructions below. Attach additional information if needed.

To Parent(s)/Guardian(s): 1) Complete pages 1, 2 and 3 of this form (FORM 1) and make a copy. camp by the requestedvia date.mail/email/fax 2) Sendcomplete the original, signed FORM 1 to Please pages 1-3 and return 3) Complete the top of FORM 2 (CAMPER HEALTH-CARE RECOMMENDATIONS) and provide the withcopy your day1 camp Attach additional with FORMregistration. 2 to your child’s health-care provider for review and completion. of FORM 4) After it has been completed and signed by your child’s health-care provider, return FORM 2 to information if needed. camp by the requested date.

Camper Home Address: ______________________________________________________________________________________________________ Street Address

City

State

Zip Code

Parent/guardian with legal custody to be contacted in case of illness or injury: Relationship

Name: ____________________________ to Camper: ________________Preferred Phones: (______) ________________(______)_________________

(If different from above)

Street Address

City

State

Zip Code

Second parent/guardian or other emergency contact: Relationship

Name: ____________________________ to Camper: ________________Preferred Phones: (______) ________________(______)_________________ Email: _______________________ Additional contact in event parent(s)/guardian(s) can not be reached: Relationship

Name(s): __________________________ to Camper: ________________ Preferred Phones: (______) ________________(______)_________________

Diet, Nutrition: � This camper eats a regular diet. � This camper eats a regular vegetarian diet. � This camper has special food needs. (Please describe below.)

Restrictions: � I have reviewed the program and activities of the camp and feel the camper can participate without restrictions. � I have reviewed the program and activities of the camp and feel the camper can participate with the following restrictions or adaptations. (Please describe below.)

Medical Insurance Information: This camper is covered by family medical/hospital insurance � Yes � No Include a copy of your insurance card if appropriate; copy both sides of the card so information is readable. Insurance Company______________________________

Policy Number___________________________

Subscriber_____________________________________

Insurance Company Phone Number (______) ___________________

Parent/Guardian Authorization for Health Care: This health history is correct and accurately reflects the health status of the camper to whom it pertains. The person described has permission to participate in all camp activities except as noted by me and/or an examining physician. I give permission to the physician selected by the camp to order x-rays, routine tests, and treatment related to the health of my child for both routine health care and in emergency situations. If I cannot be reached in an emergency, I give my permission to the physician to hospitalize, secure proper treatment for, and order injection, anesthesia, or surgery for this child. I understand the information on this form will be shared on a "need to know" basis with camp staff. I give permission to photocopy this form. In addition, the camp has permission to obtain a copy of my child’s health record from providers who treat my child and these providers may talk with the program’s staff about my child’s health status.

Signature of Custodial Parent/Guardian __________________________________________________________________Date:

Relationship to Camper: _______________________

If for religious or other reasons you cannot sign this, contact the camp for a legal waiver which must be signed for attendance.

Page 1/4

2014 CAMP GUIDE

Last

Allergies: � No known allergies. � This camper is allergic to: � Food � Medicine � The environment (insect stings, hay fever, etc.) � Other (Please describe below what the camper is allergic to and the reaction seen.)

Middle

Email: _______________________ Home Address: _____________________________________________________________________________________________________________

First

Mail the address below by _______ (date) Mail:this form GirltoScouts of Central Indiana

Email: Fax:

Month/Day/Year

Camper Name ______________________________________________________________________ (For Camp Use) Cabin or Group____________________ (For Camp Use) Session Code(s): ________________

Dates will attend camp: from ______________to_____________ at

CAMPER HEALTH 2014 Day Camp

2014HEALTH Day Camp Health History CAMPER HISTORY FORM 1 Form

Camper Name: ________________________________________________ First

Birth Date: ____________

Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses

Middle

Last

Month/Day/Year

Immunization History: Provide the month and year for each immunization. Starred (�) immunizations must be current. Copies of immunization forms from health-care providers or state or local government are acceptable; please attach to this form. Immunization Diptheria, tetanus, pertussis� (DTaP) or (TdaP) Tetanus booster� (dT) or (TdaP) Mumps, measles, rubella� (MMR) Polio� (IPV) Haemophilus influenzae type B (HIB)

Dose 1 Month/Year

Dose 2 Month/Year

Dose 3 Month/Year

Dose 4 Month/Year

Dose 5 Month/Year

Most Recent Dose Month/Year

Pneumococcal (PCV) Hepatitis B Hepatitis A Varicella �Had chicken pox (chicken pox) Date: Meningococcal meningitis (MCV4) Tuberculosis (TB) test

Date:

� Negative

� Positive

If your camper has not been fully immunized, please sign the following statement: I understand and accept the risks to my child from not being fully immunized. Signature of Custodial Parent/Guardian: ______________________________________________________________Date:

Medication:

Relationship to Camper: __________________________

� This camper will not take any daily medications while attending camp. � This camper will take the following daily medication(s) while at camp:

"Medication" is any substance a person takes to maintain and/or improve their health. This includes vitamins & natural remedies. Please review camp instructions about required packaging/containers. Many states require original pharmacy containers with labels which show the camper’s name and how the medication should be given. Provide enough of each medication to last the entire time the camper will be at camp. Name of medication Date started Reason for taking it When it is given Amount or dose given How it is given �Breakfast �Lunch �Dinner �Bedtime �Other time:_____________ �Breakfast �Lunch �Dinner �Bedtime �Other time:_____________ �Breakfast �Lunch �Dinner �Bedtime �Other time:_____________ The following non-prescription medications may be stocked in the camp Health Center and are used on an as needed basis to manage illness and injury. Cross out those the camper should not be given. Acetaminophen (Tylenol) Phenylephrine decongestant (Sudafed PE) Antihistamine/allergy medicine Diphenhydramine antihistamine/allergy medicine (Benadryl) Sore throat spray Lice shampoo or cream (Nix or Elimite) Calamine lotion Laxatives for constipation (Ex-Lax) Copyright 2008 by American Camping Association, Inc.

Ibuprofen (Advil, Motrin) Pseudoephedrine decongestant (Sudafed) Guaifenesin cough syrup (Robitussin) Dextromethorphan cough syrup (Robitussin DM) Generic cough drops Antibiotic cream Aloe Bismuth subsalicylate for diarrhea (Kaopectate, Pepto-Bismol) Page 2/4

Rev. 1/2007 LEE/EAW

2014HEALTH Day Camp Health History CAMPER HISTORY FORM 1 Form

Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses

Camper Name: ________________________________________________ First

Birth Date: ____________

Middle

Last

Month/Day/Year

General Health History: Check "Yes" or "No" for each statement. Explain “Yes” answers below. Has/does the camper: 1. Ever been hospitalized? …………………………. Yes

11. Had fainting or dizziness? ..................................................... Yes

2. Ever had surgery? .............................. …………. Yes

12. Passed out/had chest pain during exercise? ….……………. Yes

3. Have recurrent/chronic illnesses? .......……….… Yes

13. Had mononucleosis ("mono") during the past 12 months?... Yes

4. Had a recent infectious disease? ....... …………. Yes

14. If female, have problems with periods/menstruation?.…….. Yes

5. Had a recent injury? ........................... …………. Yes

15. Have problems with falling asleep/sleepwalking? ............... Yes

6. Had asthma/wheezing/shortness of breath?...... Yes

16. Ever had back/joint problems?…….………...……………...... Yes

7. Have diabetes? .................................. …………. Yes

17. Have a history of bedwetting?………………….……………... Yes

8. Had seizures? .................................................... Yes

18. Have problems with diarrhea/constipation?……………….... Yes

9. Had headaches? …………………………………. Yes

19. Have any skin problems?…………………….......................... Yes

10. Wear glasses, contacts, or protective eyewear?

20. Traveled outside the country in the past 9 months?.............. Yes

Yes

Please explain “Yes” answers in the space below, noting the number of the questions. For travel outside the country, please name countries visited and dates of travel.

Mental, Emotional, and Social Health: Check "Yes" or "No" for each statement. Has the camper: 1. Ever been treated for attention deficit disorder (ADD) or attention deficit/hyperactivity disorder (AD/HD)? ………………………........

Yes

2. Ever been treated for emotional or behavioral difficulties or an eating disorder?……............................................................................. Yes

3. During the past 12 months, seen a professional to address mental/emotional health concerns?……….…………………………………. Yes

4. Had a significant life event that continues to affect the camper’s life?...................................................................................................... Yes (History of abuse, death of a loved one, family change, adoption, foster care, new sibling, survived a disaster, others)

Please explain “Yes” answers in the space below, noting the number of the questions. The camp may contact you for additional information.

Health-Care Providers: Name of camper’s primary doctor(s): ____________________________________________________ Phone: (________) _______________________ Name of dentist(s):___________________________________________________________________ Phone: (________) _______________________ Name of orthodontist(s):_______________________________________________________________ Phone: (________) _______________________

What Have We Forgotten to Ask? Please provide in the space below any additional information about the camper’s health that you think important or that may affect the camper’s ability to fully participate in the camp program. Attach additional information if needed.

Page 3/4

Rev. 1/2007 LEE/EAW

2014 CAMP GUIDE

Forms

2014 Resident camp individual registration form

Name of parent/guardian___________________________________________________________________________________ Home phone _______________________Work phone_________________________ Cell phone________________________ Email address______________________________________ Address________________________________________________ City____________________________________________ State________ County__________________ ZIP_________________ Emergency contact: Name___________________________________________________________ Relationship_____________________________ Primary phone____________________________________Secondary phone_______________________________________ My daughter is under the custodial care of:

Are you currently a registered member of Girl Scouts of Central Indiana?

Program Assistance Grant (PAG) information

q Yes, troop #___________ Service unit______________

If yes, include PAG application and $10 deposit.

Is financial assistance needed? q Yes q No

q Yes, Juliette (individual Girl Scout) q No, non-Girl Scout

Name of only one friend that you want in your unit

Out of council

Requests must be mutual! Request for more than

Council name____________________________________

one buddy and requests that go in a circle will not be

Additional information

honored.

(optional for statistical purposes only)

Last_______________________ First____________________

Camper’s racial background

Grade in fall _______________________________________

q American Indian or Alaskan Native

Special needs

q Black or African American

This includes religious, dietary, mental, physical, and emotional needs. q Yes q No

q Hawaiian or Pacific Islander q White

If yes, please elaborate______________________________

q Other (Specify________________________________)

__________________________________________________

Camper’s ethnic background

q Hispanic or Latina q Not Hispanic or Latina

Resident camp individual registration form continued

Health history forms will be mailed in the confirmation packet. Please do not use the day camp health history form.

q Please check if you need American Disabilities Act

Bus transportation for Gallahue ($30 per session)

Check one q Gallahue q Sycamore Valley q Purdue University

Do you need bus transportation? q Yes q No

Session selection Session name_______________________________________

q One-way q To camp q From camp q Round trip

Date_______________________________________________

Bus stop (check one):

2 choice

If yes, please indicate bus stop preference and whether you need one-way or round-trip transportation:

1 choice

Session name_______________________________________

Date_______________________________________________

3 choice

Session name_______________________________________

Date_______________________________________________

q Girl Scout Service Center at Kokomo (G1) q Girl Scout Service Center at Lafayette (G2) q Flying J Truck Stop, Spiceland (G3) q Girl Scout Service Center at Terre Haute (G4) q Nora Elementary School, northside Indpls (G5) q Girl Scout Service Center at Indianapolis (G6) q O’Malia’s Food Market, southside Indpls (G7)

Fifty percent of payment is due at time of registration. Remaining balance is due one month prior to attending camp. If applying for PAG, $10 must be submitted at time of registration. All registrations without payment will be returned without being processed. Payment information: q MasterCard q Visa q American Express q Discover (American Express, Discover can not be used for online registration. Registration must be completed on paper registration form.) Card number __________________________________ Expiration date____________ Amount to be charged $___________ Name of credit card holder___________________________________Signature______________________________________

$30 Bus Fee

$________________________

Receipt to: 10-83-6230-3213 Gallahue

$30 Non Girl Scout Fee

$________________________

Session Fee

$________________________

Total Amount Due

$________________________

Amount enclosed

$________________________

10-83-6230-3612 Sycamore Valley

q Cash q Check #

_________________________

q Charge

2014 CAMP GUIDE

Forms

2014 Troops Love Camping registration form Please list girls individually

Troop number____________________________________________

Shirt size (specify youth or adult size)

Service unit ______________________________________________

1. ________________________________________ _________

Contact name ____________________________________________

2. ________________________________________ _________

Home phone _______________ Work phone___________________ Cell phone _______________________________________________

3. ________________________________________ _________

Address __________________________________________________

4. ________________________________________ _________

City____________________________State_____ ZIP______________

5. ________________________________________ _________

County___________________________________________________

6. ________________________________________ _________

E-mail address____________________________________________ 7. ________________________________________ _________

Session information check one Camp Sycamore Valley q July 14-16

q July 16-18

q July 21-23

q July 23-25

8. ________________________________________ _________ 9. ________________________________________ _________

Age level of troop (fall 2013) check one q Girl Scout Brownie

10._________________________________________ _________

q Girl Scout Junior 11. ________________________________________ _________

Payment information Number of girls =_______ x $80 =

$__________

Number of adults =_____ x $20 =

$__________

12. ________________________________________ _________ 13. ________________________________________ _________

Total participants =_____ Total due = $__________ Program Assistance Grant (PAG) information

14. ________________________________________ _________

Is financial assistance needed? q Yes q No If yes, include PAG application and $10 deposit per troop.

For office use only 10-83-6230-3612 (Sycamore Valley) Amount enclosed

$___________________________

q q q

____________________________

Shirt size

1. ________________________________________

_________

2. ________________________________________

_________

3. ________________________________________

_________

4. ________________________________________

_________

Use additional paper if needed.

Cash Check #

Please list adults individually

Charge

2014 Family camping weekends registration form

Someone in family must be a registered member of Girl Scouts of Central Indiana. A family consists of individuals living in same household. Name_________________________________________________________________________________________________________________ Home phone _____________________________Work phone________________________ Cell phone____________________________ E-mail address___________________________________________Address_______________________________________________________ City__________________________________________________ State_________ County_______________________ZIP__________________ Name of registered Girl Scout member____________________________________________________ Troop number_________________ Is this your first time to attend family camp weekends?

Please list the name, gender, age, and relationship to Girl Scout member of each person attending:

q Yes q No

Name

q Memorial Day Weekend at Camp Na Wa Kwa (May 23-26) q Labor Day Weekend at Camp Gallahue (Aug 29-Sept 1)

Gender Age

Relationship

_________________________________________________________ _________________________________________________________

Type of facility

Fees are per weekend. Please number in order of preference if more than one choice.

_________________________________________________________

Camp Na Wa Kwa

_________________________________________________________

�� Four tent units • Fee per family: $40

_________________________________________________________

�� One cabin unit (Deerpath) • Fee per family: $40

_________________________________________________________

�� Primitive camping site • Fee per family: $25

_________________________________________________________

Camp Gallahue

Registration must be received at the Girl Scout Service Center at Indianapolis prior to camping weekend to verify Girl Scout membership.

�� Hillcrest • Fee per wing: $100 �� Four tent units • Fee per family: $40 �� Adirondack Unit (Harley’s Hill)• Fee per family: $25 �� Primitive camping site • Fee per family: $25

 Please check if you need American Disabilities Act assistance.

Total enclosed $ _______________________________

No refunds for family camp weekends.

Total number of people attending __________________ Please read carefully & sign below: We take full responsibility for any action of all members of our family. We also agree to be responsible for the waterfront safety for our family and to have one adult with our children at the waterfront area whenever they are swimming, boating, or playing near the waterfront area. We understand Girl Scout accident insurance is part of the annual troop registration fee; therefore, only registered members are covered by Girl Scout accident insurance. Adult signature____________________________________________________________________________ Date_________________________

Payment information: q MasterCard q Visa q American Express q Discover

(American Express, Discover can not be used for online

registration. Registration must be completed on paper registration form.) Card number ______________________________________________ Expiration date______________ Amount to be charged $__________ Name of credit card holder___________________________________________ Signature__________________________________________ For office use only

Amount enclosed

$________________________

Receipt to:

q Cash q Check # q Charge

_________________________

10-83-6230-3510 (Camp NaWaKwa, Memorial Day) 10-83-6230-3210 (Camp Gallahue, Labor Day)

Additional forms are available at any Girl Scout service center by calling 317.924.6800 or 855.GSCIN.4U, on our website at girlscoutsindiana.org, or forms may be duplicated.

2014 CAMP GUIDE

Forms

Program Assistance Grant Application Girl Scouts of Central Indiana

Please complete the Program Assistance Grant Application online at girlscoutsindiana.org, or mail the following form to Girl Scouts of Central Indiana, Suite 100, 2611 Waterfront Parkway East Drive, Indianapolis, IN 46214. Grants are given for individual girl or troop participation in Girl Scouts of Central Indiana and Girl Scouts of the USA endorsed events such as GSUSA national and international Destinations, resident and day camp, and council, service unit, or troop program activities. Grants are only given to registered Girl Scouts. • Each girl may apply for one troop, one camp and one individual grant per year. • Financing is seldom more than matching funds with the exception of extreme need and or unforeseen circumstances beyond the control of the applicant. • All applicants will be notified by mail as to the disposition of the requests. The grant committee will look at the following factors when evaluating a grant request. • The application request is based on a realistic goal and includes a sound financial plan. • The financial resources of the applicant, including any special circumstances. • The degree to which the applicant has used her own resources to help pay for the cost of the opportunity. Type of PAG requested:  Troop (see section I)  Individual (see section II)  Camp (see section II) Girl Scouts of Central Indiana should make PAG check payable to:

Section I: Troop PAG (circle appropriate grade level) Girl Scout Daisy Girl Scout Brownie Girl Scout Junior Girl Scout Cadette/Senior/Ambassador Troop number_____________Leader’s name________________ Phone (______ ) _________________ Street address _______________________________________ # participating (G)______ (A) ______ City, state, ZIP____________________________________________ County____________________ Are all girls are registered Girl Scouts?  Yes  No I have reviewed the Safety-Wise section appropriate to this activity and assure that all requirements will be met. Leader signature_________________________________________________ Date _______________

Troop PAG applicants please continue to section IV.

Section II: Individual PAG (circle appropriate grade level) Girl Scout Daisy Girl Scout Brownie Girl Scout Junior Girl Scout Cadette/Senior/Ambassador Girl’s name____________________________________________ Troop number________________ Street address_______________________________ City, state, ZIP___________________________ County/Service unit________________________________ Phone (_______ )____________________ Number of years in Girl Scouting______Grade in fall_________________ Birth date__________________ Does girl receive free/reduced lunch at school?  Yes  No Girl wishes to attend the following program activity:___________________________________________ Council program activity:  Troop program activity  Day camp  Resident camp Girl signature_____________________________________________________ Date______________ Parent name printed __________________________________________________________________ Parent/guardian signature___________________________________________ Date______________ Camp applicants please continue to section III; individual applicants please continue to section IV.

Program Assistance Grant Application Girl Scouts of Central Indiana

Section III: Camp PAG (circle appropriate grade level) Submit a $10 deposit with your PAG application. The application will not be processed until the $10 fee has been received by GSCI.

Girl Scout Daisy Girl Scout Brownie Girl Scout Junior Girl Scout Cadette/Senior/Ambassador Parent/guardian name_________________________________________ Troop number____________ Work phone ______________________________ Cell phone ________________________________ Complete only if different from girl’s information. Street address_____________________________________________________________________ City, state, ZIP_________________________________ County/Service unit______________________ Camp attending ________________________ Camp dates_____ Session number or name __________ _

Camp applicants please continue to section IV.

Section IV: Event details and participation Location_______________________________________Transportation________________________ Detailed description of event___________________________________________________________ ________________________________________________________________________________ Dates of trip_______________________________________________________________________ Have reservations been made?  Yes  No What are your sleeping arrangements?  Tents  Hotel  Other Do you have additional insurance other than Girl Scouts?  Yes  No A complete itinerary must be submitted including dates, times, places and accommodations with a full list of girls and adults. Has troop/girl received a grant for a Girl Scout activity in the past year?  Yes  No Did the troop/girl participate in the Fall Product Sale Program?  Yes  No If no, why not?______________________________________________________________________ Did the troop/girl participate in the Girl Scout Cookie Program?  Yes  No If no, why not?______________________________________________________________________

All applicants please continue to Section V.

2014 CAMP GUIDE

Forms

Program Assistance Grant Application Girl Scouts of Central Indiana Section V: Budget Total anticipated cost

Total amount girl/troop can pay

If other, please specify

Transportation____________ Troop__________________________ _________________________ Camp fee________________ Parent/guardian__________________ _________________________ Program fee______________ Girl’s earnings____________________ _________________________ Other___________________ Other__________________________ _________________________ Total____________________ Total__________________________ _________________________ Total annual income: (Please check the appropriate amount)  $0-$12,000  $15,001-$18,000  $21,001-$25,000  $30,001-$40,000  $50,001-$60,000  $12,001-$15,000  $18,001-$21,000  $25,001-$30,000  $40,001-$50,000  Over $60,000

Number of people supported by this income: ______________________________________________ Answer the following questions. Please attach additional sheet if necessary. What is the trip goal?_________________________________________________________________ Are there any special circumstances? (This question must be answered in order for your application to be considered.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Is the parent/guardian a troop leader?____________________________________________________ The following questions must be filled out for processing: Does your child receive free or reduced lunch?

☐ Yes

☐ No

What is your child's school district? _____________________________________________________________

Please allow 4 weeks for processing.

Award amount ___________ Requisition # ____________

Girl Membership Join the global network of 3.2 million Girl Scouts Membership Year through 9/30/20

GIRL INFORMATION

Check one:

� New Member

� Renewing Member

Name: First

(check all that interest you)

� Camp: Connect with nature. Choose a camp by day or overnight.

Last

Address

� Events: Focus on half or full day events to share your passions.

Apartment

City

State / Zip Code

( ) Girl Home Phone

( ) Girl Cell Phone (only if 13 and older)

Girl E-Mail Address (only if 13 or older)

I wish to opt in: � Texts � E-mails

� Series: Explore your interests over a few sessions in a way that fits your schedule.

Girl Scouts respects and welcomes people from all backgrounds and abilities. By completing the following information (as defined by the US Census), you ensure support and funding for girls in your community. Hispanic/Latina is defined as an ethnicity, not a race, therefore is reported separately. This information is used for statistical purposes only.

DEMOGRAPHICS

Date of birth: (mm/dd/yyyy)

# of years as a Girl Scout:

She is: (check all that apply) � American Indian or Alaskan Native � Asian � Black or African American � Hawaiian or Pacific Islander � White � Other (please specify)

She is Hispanic or Latina: � Yes � No � I choose not to share at this time

� Virtual: Interact virtually with Girl Scouts everywhere.

Household income: � $0–$14,999 � $15,000–$34,999 � $35,000–$49,999 � $50,000–$74,999 � $75,000–$99,999 � $100,000 or more � I choose not to share at this time

� I choose not to share at this time

YES! I would like to make a donation today that directly benefits girls in our area. Enclosed is my tax-deductible donation in the amount of: (check one) � $500 � $250 � $100 � $50 � Other $

� Address is same as girl

PARENT/GUARDIAN INFORMATION

Parent/Guardian (1) First Name

� $150 � $25

PAYMENT INFORMATION:

Employer

Occupation

(

)

(

)

Home Phone

Membership Fee: $

)

Cell Phone

Total Attached: $ I wish to opt in: � Texts � E-mails

E-mail Address

� Cash

� Address is same as girl Parent/Guardian (2) First Name

Donation: $

Business Phone

Middle

� Check*

� Amex � Discover � Visa � MasterCard � Other

Last

Address Employer

Occupation

(

)

(

)

Credit Card # I wish to opt in: � Texts � E-mails

E-mail Address

Media Permission When participating in Girl Scout activities I may be photographed for print, videotaped, or electronically imaged. Images may be used in promotional materials, news releases, and other published formats for either the local Girl Scout Councils or Girl Scouts of the USA. The images will be the sole property of either the local Girl Scout Council or Girl Scouts of the USA. � I wish to opt out at this time.

Council Code: PATHWAY OF ENTRY:

Name on Credit Card

Business Phone

Cell Phone

PERMISSION

Last

Address

Home Phone

ADMIN USE

Middle

� Travel: Pack your bags. Travel across town or around the world! � Troop: Have fun on a regular basis with your Girl Scout sisters.

School grade in Fall 2013:

Name of school: Custodial care: � Both Parents � Mother/Guardian Only � Father/Guardian Only � Other

Girl Scouting builds girls of courage, confidence, and character, who make the world a better place.

FUN WAYS TO PARTICIPATE:

GSUSA ID (if known)

Middle

GIRL SCOUT MISSION

The Girl Scout Law I will do my best to be honest and fair, friendly and helpful, considerate and caring, courageous and strong, and responsible for what I say and do, and to respect myself and others, respect authority, use resources wisely, make the world a better place, and be a sister to every Girl Scout.

The Girl Scout Promise On my honor, I will try: To serve God and my country, To help people at all times, And to live by the Girl Scout Law.

� Event

� Series

When making the GS Promise, individual members may substitute wording appropriate to their own spiritual beliefs for the word “God.”

I/We acknowledge that the registrant will accept and abide by the Girl Scout Promise and Law. The registrant has permission to join Girl Scouts.

Signature of Parent/Guardian

Date

Signature of Parent/Guardian

Date

Service Unit/Team: � Camp

Expiration Date

Group/Troop: � Travel

� Troop

� Virtual

Signature Date *Make checks payable to Girl Scouts

THANK YOU FOR SUPPORTING GIRL SCOUTS!

Learn more about Girl Scouts at www.girlscouts.org. Return this registration form, along with GSUSA membership fees to your local council. Fees are non-refundable or transferable to another person.

2014 CAMP GUIDE

Adult Membership

Join the global network of 3.2 million Girl Scouts Membership Year through 9/30/20

Check one:

� New Member

CONTACT INFORMATION

Title or salutation:

� Renewing Member

� Mrs.

� Ms.

Name: First

� Miss

� Lifetime Member � Mr.

� Dr.

MEMBERSHIP OPTIONS:

GSUSA ID (if known)

Annual Membership � Annual fee: $15

� Other:

Middle

Lifetime Membership (including permanent membership card and recognition certificate)

Last

Address

Apartment

City

State

( ) Home Phone

( ) Business Phone

( ) Cell Phone

E-mail Address

Employer

Title/Occupation

� One time fee of $375: Adults 18 years of age or older

Zip Code

I wish to opt in: � Texts � E-mails

DEMOGRAPHICS

Girl Scouts respects and welcomes people from all backgrounds and abilities. By completing the following information (as defined by the US Census), you ensure support and funding for girls in your community. Hispanic/Latina is defined as an ethnicity, not a race, therefore reported separately. This information is used for statistical purposes only. Gender: � Female � Male

# of years in Girl Scouting: as a girl: as an adult:

Date of birth: / / mm dd

Highest education: (check one) � Some High School � High School � Some College � Associate Degree � Bachelor Degree � Postgraduate Degree

I am: (check all that apply) � American Indian or Alaskan Native � Asian � Black or African American � Hawaiian or Pacific Islander � White � Other (please specify)

I am Hispanic or Latina: � Yes � No � I choose not to share at this time

ACCEPTANCE

GET INVOLVED

PARTICIPATION

� I choose not to share at this time I will be participating in Girl Scouting as: (check all that apply) � Volunteer—I am/will be volunteering for Girl Scouts � Parent/Family—I am a parent/guardian/family member of a Girl Scout � Girl Scout Alumnae—I was a Girl Scout, either as a girl, adult or both As a volunteer, I would like to participate in the following role(s): � 01—Advisor or Leader for a Group/Troop # � 02—Assistant Advisor or Leader for a Group/Troop Advisor/Leader � 03—Support Volunteer for a Group/Troop � 11—Service Team or Unit Volunteer � 12—Learning Facilitator � Other (specify)

yyyy

Age range: � 18-29 � 50 and up � 30-49 Household income: � $0–$14,999 � $15,000–$34,999 � $35,000–$49,999 � $50,000–$74,999 � $75,000–$99,999 � $100,000 or more � I choose not to share at this time

� $150 � $25

Annual Membership: $ Lifetime Membership: $

� Community Partner � Staff—I am/will be employed by Girl Scouts � Other

Donation: $ Total Attached: $

Representing Group(s)/Troop(s)/Service Unit Numbers: # # # # # # # # # SU SU SU

� Cash

� Check*

� Amex � Discover � Visa � MasterCard � Other Name on Credit Card

� Camp: Help girls connect with nature during day or overnight camp. � Events: Share your passions during half or full day events. � Series: Share your interests in a way that fits your schedule � Travel: Expand girls’ horizons. Travel with girls across town or around the world! � Troop: Inspire and develop a group of girls on a regular basis. � Virtual: Interact virtually with Girl Scouts everywhere.

� Administrative: Manage, support and recognize volunteers in your community � Council Committees: Assist in council-wide Girl Scouts operations � Learning Facilitator: Coordinate learning opportunities � Fund Development: Promote and advance the Girl Scout movement through family and corporate donations

� I wish to opt out at this time.

YES! I would also like to make a donation today that directly benefits girls in our area. Enclosed is my tax-deductible donation in the amount of: (check one)

PAYMENT INFORMATION:

GET INVOLVED “BEHIND-THE-SCENES”: (check all that interest you)

� One time fee of $195: Girl Scout Ambassadors graduating from High School in this membership year in the month of: (please submit by Sept. 1st of graduating year)

� $500 � $250 � $100 � $50 � Other: $

PARTICIPATE WITH GIRLS DIRECTLY: (check all that interest you)

GIRL SCOUT MISSION Girl Scouting builds girls of courage, confidence, and character, who make the world a better place.

Credit Card # Expiration Date Signature Date

The Girl Scout Promise On my honor, I will try: To serve God and my country, To help people at all times, And to live by the Girl Scout Law.

*Make checks payable to Girl Scouts

THANK YOU FOR SUPPORTING GIRL SCOUTS!

When making the GS Promise, individual members may substitute wording appropriate to their own spiritual beliefs for the word “God.”

Learn more about Girl Scouts at www.girlscouts.org.

I accept and abide by the Girl Scout Promise and Law:

ADMIN USE ONLY:

Signature

Council Code: Date

Service Unit/Team: Group/Troop:

Return this registration form, along with GSUSA annual membership fee or applicable Lifetime fee to your local council. Fees are non-refundable or transferable to another person.