2015
Girl Scout
SUMMER CAMP 2611 WATERFRONT PARKWAY EAST DRIVE SUITE 100 | INDIANAPOLIS, IN 46214 | girlscoutsindiana.org
Girl Scout camping … is an experience that provides creative, educational opportunities in groups living in the outdoors. Its purpose is to use the Girl Scout Program, trained leadership, and the resources of the natural surroundings to contribute to each camper’s mental, social, physical, and spiritual growth.
Day camp … 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. Experience day camp and make new friends!
Resident camp … 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 program activity. Girls and their counselors plan activities, taking advantage of the opportunities available to them.
Troops Love Camping (TLC) ... is an experience for the whole troop! Want to share summer camp with your Girl Scout friends? Then this is definitely for you! We will supply food, supplies, and activities for your troop.
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Registration opens Wednesday, January 21
Summer camp
Girl Scouts of Central Indiana
Location map Open houses Bring a friend to camp Send a girl to camp College Campus & Community Camps
Chief Executive OfďŹ cer Deborah Hearn Smith Chief Operating OfďŹ cer
4 5 6 7 8-9
Meisha Wide, Camp Dellwood mwide@girlscoutsindiana.org
Camp Sycamore Valley Day camp Resident camp Troops Love Camping Camp Na Wa Kwa Family camp Mini sessions & day camp
Barb Nichols, Camp Gallahue bnichols@girlscoutsindiana.org
Camp Dellwood Day camp
22-29
Kendra Nowell, Journey University knowell@girlscoutsindiana.org
Camp Gallahue Resident camp Family camp
30-45 46
Cathy Ritchie Director of Program Services Diana Keely Camp Administrators
Brittany McCallister, Camp Sycamore Valley bmccallister@girlscoutsindiana.org
10-13 14-17 18-19 20 21
Forms Day camp 47-53 Resident camp 55-56 Troops Love Camping 57 Family camp 58 Program assistance grant application 59-61 Girl membership registration 62 Adult membership registration 63
Alicia Martin, Camp Nawakwa, Mounds State Park amartin@girlscoutsindiana.org Jaime Hubbard, University Camps jhubbard@girlscoutsindiana.org Math and Science Center Manager Katie Wahlstrom Facility Reservations Theresa Sutton Contact Numbers 855.GSCIN.4U or 317.924.6800
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Camp properties
2015 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 29-June 1
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
6 Indiana University
Dellwood 2 Camp Day camp
University 7 Marian Resident camp
Day camp
3 Camp Gallahue Resident camp Family camp
Resident camp
8 Mounds State Park Day camp
Na Wa Kwa 4 Camp 9 Purdue University Family camp Resident camp
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Day Camp Journey University resident camp Mini Sessions Camp Sycamore Valley Day camp Resident camp Troops Love Camping
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5 9 7 2 1 4
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Camp open houses Camp Dellwood
Camp Gallahue
Sunday, May 31 2-4 p.m. 2301 N Girls School Rd Indianapolis, IN 46214
Sunday, May 31 2-4 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 30 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 – 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.
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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
Dates June 3-July 24
q Non-Girl Scout
Day camp Butler University Camp Dellwood Camp Sycamore Valley Mounds State Park Camp Nawakwa
Resident camp Camp Gallahue Camp Sycamore Valley Indiana University Marian University Camp Nawakwa Purdue University
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. Your friend will need to also fill out a camp registration along with attend all week at camp with you.
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 Girl Scout Service Center at Bloomington q Marian University q Mounds State Park q Camp Nawakwa q Purdue University
Session name: ____________________________________Date of session: ______________________________
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Send a girl to camp p Camp scholarships It is our goal to continue to provide opportunities for girls who want to go to camp. Camp scholarships provide this life-changing experience for girls who may not otherwise be able to participate because of their economic circumstances. Contributions to camp scholarships make it possible for all girls throughout the 45 counties we serve to attend camp and have the same opportunities and experiences regardlesss of their ability to pay. In addition camp scholarships help underwrite the cost of camp activities, keeping fees low for all girls. With your help, we will continue to give Girl Scouts the opportunities they need eed to become the leaders they want to be today, and the leaders our community needs d them th to t be b tomorrow. t $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 _____________________________________________________________________________________
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Community camps
College campus camp
program will take place on Thursday, July 16, beginning at 10:30 a.m. and will be followed by a luncheon. Campers will stay on the beautiful Indiana University Campus in one of the dorms and experience what it is like to be a college student.
Please Note: Transportation is not provided for these camps. More information about drop off and pick-up will follow in a confirmation packet.
$300 July 13–16 Contact: Jaime Hubbard • 317.924.6859
Indiana University Informatics Camp
Journey University: Day camp at Butler University
Grades: 11, 12 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.
Grades: 6, 7, 8, 9, 10 Office Code: 2050
Are you working toward your Girl Scout Silver or Gold Award? Do you want a quick way to get all the prerequisites out of the way so you can dive right into the project? Here’s your chance! Journey University is a week long program that will take you through a Girl Scout journey from the It’s Your Plant Love It, It’s Your Story Tell It, and It’s Your World Change It series. You will also receive official council training on your Girl Scout Silver or Gold Award and work 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 awards and patch.
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. $325 June 21-25 Register online: https://bit.ly/soicsummercamp2 Contact: Nancy Lemons • nlemons@indiana.edu
$140
Indiana University Resident Camp: E-Textiles
8 a.m.-4 p.m. daily, overnight on Thursday night
Grades: 6, 7, 8
Session A: June 15-19
Office Code: 2053
aMaze (Grades 6-8)
Girl Scouts of Central Indiana is teaming up with Indiana University School of Informatics and Computing to offer an opportunity for you to jump into the exciting world of E-Textiles. You will create an electronic textile of your choosing that will take an input (e.g., temperature) and produce an output (e.g., LEDs lighting up). Through handson activities you will gain an understanding of new printing technology, 3D visualization, basic electronic circuitry, basic programming, sewing, prototyping, and the iterative design cycle. The camp will culminate in a fashion show where you with get the chance to show off your new creations to your parents, guardians, families and friends. The fashion show and family/friends
Media (Grades 6-8) Breathe (Grades 6-8) Mission Sisterhood (Grades: 9-10) Girltopia Grade (Grades: 9-10) Sow What Grades: (Grades: 9-10) Your Voice, Your World (Grades 11-12) Bliss Grades (Grades 11-12) Justice Grades (Grades 11-12) Session B: July 6-10 aMaze (Grades 6-8) Media (Grades 6-8)
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Breathe (Grades 6-8)
Purdue University Resident Camp: Technology Advances Girl Scouts (T.A.G.S.)
Mission Sisterhood (Grades: 9-10) Girltopia Grade (Grades: 9-10) Sow What Grades: (Grades: 9-10)
Grades: 6, 7, 8
Your Voice, Your World (Grades 11-12)
Office Code: 2053
Bliss Grades (Grades 11-12)
Bliss Grades (Grades 11-12)
Join the faculty, graduate students and staff of Purdue University’s College of Technology to explore the exciting world of technology. You will participate in hands-on activities to work in college labs to expand your knowledge and skills. The faculty and graduate students will lead the way as you experience different departments including Aviation, Building Construction Management, Computer Graphics, Computer Technology, Electrical Engineering, Technology, Mechanical Engineering Technology, and Technology Leadership and Innovation. Stay on campus in one of Purdue University residence halls and dine in the university dining halls.
Justice Grades (Grades 11-12)
$300
Contact: Kendra Nowell • 317.94.6811
July 20-23
Justice Grades (Grades 11-12) Session C: July 20-24 aMaze (Grades 6-8) Media (Grades 6-8) Breathe (Grades 6-8) Mission Sisterhood (Grades: 9-10) Girltopia Grade (Grades: 9-10) Sow What Grades: (Grades: 9-10) Your Voice, Your World (Grades 11-12)
Contact: Jaime Hubbard • 317.924.6859
Marian University Resident Camp: Girls Exploring Medical Sciences (G.E.M.S.)
Adventure day camp
Grades: 8, 9, 10 Office Code: 2053
Are you fascinated in biology class about how the human body works? Do you find yourself drawn to the “Untold Stories of the ER” TV shows? Then this camp based in Marian University’s new College of Osteopathic Medicine is for you! We will spend time learning about various medical specialties and have lots of hand-on activities such as learning how to cast on a broken arm, how to evaluate a new-born baby, see how the heart works and maybe even get to hold a heart specimen! We will even spend a day learning about how medicines are developed and produced at Eli Lilly & Co! Come spend a week learning what it might be like as a medical student! Stay on campus in one of Marian University residence halls.
Mounds Bound Grades: 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 1800's. 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. $85 *non-members $115
$300
July 6-10
June 23-26
Mounds State Park 4306 Mounds Rd, Anderson
Contact: Jaime Hubbard • 317.924.6859
Contact: Alicia Martin • 317.924.6834
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Camp Sycamore Valley • Day camp
Camp open house | Saturday, May 30 | noon-2 p.m. 8439 State Road 26 E, Lafayette, IN 47905 Brittany McCallister 317.924.6857
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.
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. 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.
Please note: This is not troop camp and the entire troop is not guaranteed to be placed together in one unit.Attend day camp and make new friends! 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!
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 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.
Day camp fees-per person Day Camp Sampler Session I ....................................$60 Non-Girl Scout fee* ........................................................$90
*Includes Girl Scouts of the USA membership fee.
Day Camp Session 2, 3, 4 fee ..................................... $85
Please fill out the girl member registration form in the back of this book along with the camp registration form.
Non-Girl Scout fee* ........................................................$115 Day Camp Session 5 ...................................................... $70 Non-Girl Scout fee* ......................................................$100
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.
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.
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Camp fees
leadership skills in an adult supported and supervised environment.
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.
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). 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 $35. The fee of the training includes materials, a day camp T-shirt and patch.
Car transportation 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.
Meals
Day Camp Aide-in-Training will be offered June 8-12. 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.
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 • • • •
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
Experienced day camp aides and girls who have completed training may apply to be a day camp aide. The cost is $25 per session. The fee for day camp aides defrays meals, incidental expenses and includes a day camp T-shirt and patch.
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 Registration opens Wednesday, January 21 How to register- four great options!
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!
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
Volunteer 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.
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 2015 Day Camp Individual Registration Form.
Pre-camp meeting dates Camp Sycamore Valley Volunteer Training Sessions 1-5: Saturday, May 30, 2:30-4 p.m.
Adult volunteers and tag-a-longs need to complete the 2015 Day Camp Volunteer Staff Registration Form.
Older girl leadership at day camp 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
• All participants (including adults and tag-alongs) must complete the 2015 Day Camp Health History Form.
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Camp Sycamore Valley • Day camp
• Camp confirmations will be mailed to all participants (please do not call to check on placement).
by various funding sources that support Girl Scouts of Central Indiana. For this reason the refund policy is:
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)
Questions and answers
Multiple sessions
1. What do I wear to day camp?
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.
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)
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.
• • • •
What do I bring to day camp each day?
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.
• • • • •
Hat or bandana Swim suit and towel Closed-toe-shoes An extra pair of closed-toe-shoes (that you don't mind getting wet) A plastic grocery bag for wet close and shoes 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
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.
• Electronic devices (including cell phones and MP3 players) • Weapons, alcohol or tobacco products • Drugs (prescription and over-the-counter drugs must be turned in to the camp health supervisor)
All Program Assistance Grant information is kept strictly confidential. Grants are available for one camp session per girl.
If my camper has a game/event, can I pick her up and return her at anytime?
Registration closes Registration closes 2 weeks before the beginning of each day camp session or when the session is full, whichever is first.
Refund procedure
We do appreciate all campers remaining at camp for the entire day. It is disruptive to your camper and the other campers in her unit, to pick her up midway through the day and bring her back.
The day camp fee does not cover the entire cost of your child attending camp. The remainder is covered
If you wish to take your camper out of camp, either during the day or on the overnight, you will need
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to contact the camp director prior to or during check-in on the first day. Your camper will not be able to return to camp until 8:30 a.m. the next day. Please provide a note with the day, time, reason, and who will be picking up, to the camp director on that day. If you have an evening event on the overnight, you may pick up your camper at 3:30 p.m.
• • • • • • •
What do I bring if I am staying overnight on Thursday?
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
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)
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 3-5 • Ready, Set, Summer Sampler • $60 • Grades K-7
School's out! Now is the time to get a sneak peek at what day camp at Sycamore Valley is all about. If you are ready to move and groove, get artsy, use your impagination and get messy; this is the session for you. There will NOT be an overnight in this fun day camp sampler. Daily drop-off is Wednesday, June 8 from 8:30-9 a.m. and pickup is Friday, June 12 from 3:30-4 p.m. Session #2: June 8-12 • Movin' & Groovin' • $85 • Grades K-7
Do you like to dance? Don't worry if you don't know how, there will be plenty of opportunities to learn this week! This is your chance to have fun, play dress up, clown around, be silly and take home some new dance moves. Session #3: June 15-19 • Artful Antics • $85 • Grades K-7
Release your inner creativity and get ready for a week of awesome art! This will be more than your normal arts and crafts week. Use nature to make art, make a photo frame for your camp photo and a camp memory book. This is just the beginning of what this week has to offer! Session #4: June 22-26 • Off the Beaten Path • $85 • Grades K-7
Go off the beaten path and let your inner explorer run wild this week! Discover what is under that log, what lives in the creek bed, and what other creatures call Camp Sycamore Valley home! Come prepared to get down and dirty exploring all that camp has to offer! Session #5: June 29-July 2 • A Mess to Impress • $70 • Grades K-7
Are you ready to get messy? This week we are going to do all those things you are only allowed to do at camp! Roll in the mud, splatter the paint, play with your food and make other gooey arts and crafts. What are you waiting for? Come get your hands dirty, because the mess is up to you! The overnight will be Wednesday night instead of Thursday night.
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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 2015.
Camp sessions are open to all girls entering grades 2-8 in fall 2015. 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 2015 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 31 for all sessions. 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: Monday drop off
2-3 p.m.
Friday pick up
11:30 a.m.-12:30 p.m.
When to register Registration opens on Wednesday, January 21.
Registration closes Registration closes two weeks prior or when session is full.
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How may I contact my camper? May I visit or call her?
Refund procedure 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.
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 camper’s confirmation packet.
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. Your camper will need to be picked up at 3:30 p.m. and will not be able to return to camp until 8:30 a.m. the next day.
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Camp Sycamore Valley • 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 camper’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
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Resident session Anything Goes at Resident Camp Grades: 2, 3, 4, 5, 6, 7, 8 Join us for a fun filled week of mischief and fun! Come up with fun activites for your group to do during your stay, build forts, sleep in, go on a night hike, have an all camp lazy day, eat breakfast for dinner and watch an all camp moonlight movie! $185 July 6-10
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Camp Sycamore Valley • Troops Love Camping
Troops Love Camping at Camp Sycamore Valley How to register
Want to share summer camp with your Girl Scout troop? Join the Camp Sycamore Valley staff and other troops for a fun filled troop camping experience! We will supply activities, supplies and food for your troop. You will need to provide transportation. Activities will be ran by our camp staff, so experience is not necessary.
• Complete the 2015 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
Troops will stay for three days and two nights. This is perfect for new troops who have not experienced campr or for those proofs that prefer to experience summer camp together. Troops will participate in many hands-on activities and enjoy crafts, outdoor cooking, swimming and other camp experiences. Join us for fun with other troops around Indiana!
Or fax completed form with credit card information to 317.931.3346 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.
Leadership
• 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.
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.
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.
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:
TLC fees – per person, per session
• Refunds are given only if cancellation is received two weeks prior to sessions.
Camper fee......................................................................$85 Adult fee ............................................................................$25
• $25 of fee per troop will be retained for handling charges. The $10 deposit for PAG’s will not be refunded.
Camper fee includes T-shirt, camp patch, and one badge. All adults will receive a T-shirt and camp patch.
• Refunds are not given to no shows or campers leaving camp early due to personal reasons including homesickness, sports, family vacations, behavioral issues, etc.
Full payment is due at time of registration, unless applying for financial assistance.
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TLC sessions Date
Days
Camper min/max
July 13-15 July 15-17 July 20-22 July 22-24
Monday - Wednesday Wednesday – Friday Monday - Wednesday Wednesday – Friday
40/160 40/160 40/160 40/160
Check-in is 3 p.m. and check out is at noon for all sessions.
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Camp Na Wa Kwa • Family camp
Alicia Martin 317.924.6834
Family Camp at Camp Na Wa Kwa June 19-21
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.
G
et 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.
No refunds for family camp weekends.
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.
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
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: $50/family
*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. 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: $50/family
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Mini Sessions
Girl Power Journey Camp Grades: 4, 5, 6, 7, 8, 9, 10 Words and actions have power and you have the ability to influence others and create an ideal world. Do this at camp through a variety of teambuilding challenges, encouraging one another up the climbing wall and creating your own steps towards living in your ideal world. By the end of this session, you will earn one of the following journeys: Agent of Change, Media, or Girltopia. Registration available online.
Just You and Me Grades: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 Girls, bring your favorite female adult with you to camp for the weekend. Come swim, climb, make crafts and enjoy all camp has to offer. You will stay in platform tents in one of Camp Nawakwa’s beautiful units. This is a perfect way to spend time together! Please fill out at council program registration to register for this program.
$85
$35
July 1-3
June 12-14
Day Camp at NaWaKwa
Me & My Guy
Divergent Days
Grades: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 Go on an adventure with your favorite male adult this summer. Encourage one another up the climbing wall, splash each other on canoes, and strap on your hiking boots for a trek around camp. We have programs planned but you are free to enjoy your time together on your own. Please fill out at council program registration to register for this program.
Grades: K, 1, 2, 3, 4, 5, 6, 7 “One choice can transform you.” Are you brave, peaceful, intelligent, selfless or honest? Or are you more than just one and considered divergent? Discover your faction by testing your climbing strength, orienteering skills, being a sister to every girl and so much more. Our Thursday evening celebration will end with a talent show and skits so bring your best act!
$35 June 5-7
$110 *non-member $140
Females Rock Journey Camp
June 8-12 camp times 9 a.m.-3 p.m.
Grades: 4, 5, 6, 7, 8, 9, 10 Discover why females rock and what we can do to become great leaders all while at camp! Challenge yourself on the low ropes course as you work together with a team to complete an end goal, focus your concentration at the archery range and face your fears down the zip line. By the end of this session, you will earn one of the following journeys: Amuse, Amaze, or Mission: Sisterhood. Registration available online.
Transportation Bus Stops: Girl Scout Service Center at Terre Haute Forest Park, Brazil parking lot Pilot Travel Center, Brazil 4376 North State Road 59, Brazil Bus times will be determined two weeks prior to start of camp. Times could change depending on the numbers of campers at each stop.
$85 June 29-July 1
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Camp Dellwood • Day camp
Camp open house | Sunday, May 31 | 2-4 p.m. 2301 N Girls School Rd, Indianapolis, IN 46214 Meisha Wide 317.924.6858
Day camp at Camp Dellwood 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.
…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! 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. Bus transportation will not be offered Thursday night or Friday morning if you choose not to spend the night. Day camp is a great way to build your courage, confidence, and character!
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 5 days are allowed to stay for the overnight. Child care before and after hours is not provided.
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.
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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.
Older girl leadership at day camp 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.
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 $35. 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 2015 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 8-12 • Session 2, June 15-19 • Session 3, June 22-26 • Session 4, June 29-July 3 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 $25 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 .................................................. $110 Non-Girl Scout fee* ...................................................... $140 Day camp Aide fee ...........................................................$25 Day camp Aide in Training fee ....................................$35
Join the fun!
Tag-a-long program fee ................................................ $30
Help get Camp Dellwood in tip-top shape!
Full payment is due at time of registration. All fees include a day camp T-shirt and patch.
Free lunch and T-shirt included!
*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.
See page 43 on the program side for more details!
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Camp Dellwood • Day camp
Become a day camp volunteer!
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!
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!
Volunteer 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 18, 6-9 p.m. Session 2: Tuesday, June 2, 6:30-9 p.m. Session 3: Thursday, May 28, 7-9 p.m. Session 4: Tuesday, June 16, 6:30-9 p.m. Session 5: Tuesday, June 30, 6:30-9 p.m. Session 6: Tuesday, July 7, 6-9 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 $30/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. Dress appropriately for training and hiking, and wear comfortable, closed-toed-shoes. Volunteers will also have to attend the pre-camp meeting for their specific session. Training will start at Camp Dellwood's Program Center.
Volunteer staff benefits • • • •
Camp Dellwood Tuesday, June 2, 6-9 p.m. Wednesday, June 23, 6-9 p.m.
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).
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Registration opens Wednesday, January 21.
• Camp confirmations will be emailed to all participants (please do not call to check on placement).
How to register- four great options!
Registering with a buddy
1. Register online at girlscoutsindiana.org
• 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..
When to register
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.
3. Fax registration and health history forms with full credit card payment to: 317.931.3346.
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.
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 2015 Day Camp Individual Registration Form. Adult volunteers and tag-a-longs need to complete the 2015 Day Camp Volunteer Staff Registration Form. • All participants (including adults and tag-alongs) must complete the 2015 Day Camp Health History Form.
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Camp Dellwood • Day camp
Applying for financial assistance (PAG)
Questions and answers What do I wear to day camp?
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.
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.
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.
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.” • • • •
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)
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:
Camp fees
• 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)
Full fee must be paid no later than May 31 for all camp dates. Failure to do so will result in loss of reservation.
Registration closes Registration closes 2 weeks before the beginning of each day camp session or when session is full, whichever is first.
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), unit name, bus stop name or "car rider"
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:
• 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.
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.
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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. Pick up and drop off times will be sent one week prior to the start of your camp session. Bus stops and times are subject to change.
Session #1: June 8-12 • Connie Holzhausen, volunteer director • It's a Bug's Life Service unit
Bus stop location
Bus stop address
Center Grove
Code D1 D2
North Grove Elementary School Center Grove Elementary School
3280 W Fairview Rd, Greenwood 2455 S Morgantown Rd, Greenwood
Danwood
D3
Danville Parks and Recreation
49 N Wayne, Danville
Fountain Square
D41
Paul I. Miller School #114
2251 Sloan Ave, Indianapolis
Redbud
D4 D5 D6
Trafalgar Library Needham Elementary School East Side Elementary School
424 E Tower, Trafalgar 1399 Upper Shelbyville Rd, Franklin 810 E Main Cross St, Edinburgh
Southport Wa-Di-O-Ni
D45 D7
Southport High School Whiteland United Methodist Church
971 E Banta Rd, Indianapolis 300 W Main St, Whiteland
Wagon Trail
D8
Brentwood Elementary School
1630 E Oliver Ave, Plainfield
D9
Southwest Elementary School
619 W Smith Valley Rd, Greenwood
Woodland Aide-in-Training
Complete individual registration form
Session #2: June 15-19 • Jennifer Burke, volunteer director • Disney Days 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 Wa-Mo-Na
D13
New Palestine High School
4485 Victory Ln (off US 52), New Palestine
D14
Greenfield Girl Scout House
230 W North St, Greenfield
D15
Paul Hadley Middle School
200 W Carlisle St, Mooresville
Aide-in-Training
Complete individual registration form
Session #3: June 22-26 • Roberta Nance, volunteer director • Friends Forever Service unit
Code
Bus stop location
Bus stop address
Carmel Central
D39
Smoky Row Elementary School
900 W 136th St, Carmel
Carmel West
D16
Towne Meadow Elementary School
10850 Towne Rd, Carmel
Fulton
D17
Chapel Glen Elementary School
701 Lansdowne Rd, Indianapolis
Lourdes|Greater Irvington
D18
Marsh Supermarket
6243 E Washington St, Indianapolis
Manuka Warren West Indy Aide-in-Training
D19
Marsh Supermarket
17901 River Ave, Noblesville
D20
Hamilton Heights Elementary School
25150 SR 19, Arcadia
D21 D22
Hawthorne Elementary School Old Bethel United Methodist Church
8301 E Rawles Ave, Indianapolis 7995 E 21st St, Indianapolis
D23
William Penn School #49
1720 W Wilkins St, Indianapolis
D24
K-Mart
6780 W Washington St, Indianapolis
Complete individual registration form
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Session #4: June 29-July 3 • Betsy Perkins, volunteer director • Having S'more Fun Service unit
Code
Bus stop location
Bus stop address
Acorn House
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
Pike
D42
Lincoln Middle School
5353 W 71st St, Indianapolis
Eagle Trails
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 13-17 • Erica Morgan, volunteer director • Boot Camp 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
Potowatami
D43 D44
Nora Elementary School Eastwood Middle School
1000 E 91st St, Indianapolis 4401 E 62nd St, Indianapolis
Roadrunner
D37
Castleton United Methodist Church
7160 Shadeland Station, Indianapolis
D38
Faith Presbyterian Church
(use lot at address above, NOT 71st and Shadeland)
8170 Hague Rd, Indianapolis
Session #6: July 20-24 • Donna Killian, volunteer director • Digi Camp 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
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Camp Gallahue • Resident camp
Camp open house Sunday, May 31 | 2-4 p.m. 6758 Bear Creek Rd, Indianapolis, IN 46160 Barb Nichols 317.924.6864
Resident camp at Camp Gallahue How to register
… is a camping experience for girls to live in the outdoors for five 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 2015 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. • Online registration is also available at girlscoutsindiana.org if you are using a credit card to pay the full amount.
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.
• 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 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.
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 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 1 for all camp dates Failure to do so will result in loss of the reservation. • A confirmation packet including health form will be emailed to all registered individuals.
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• 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.
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. Girl Scout Service Center at Kokomo 815 W Superior St, Kokomo
When to register Registration closes
Sunday check-in Sunday bus leaves Friday drop off
• 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
• Registration opens on Wednesday, January 21.
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:
11 a.m. 11:30 a.m. (bus to camp) 3 p.m. (bus from camp)
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. • Refunds are given only if cancellation is received two weeks prior to session.
Sunday check-in Sunday bus leaves Friday drop off
• $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 .
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 $35 per person. This fee is non-refundable, not included in the camp fee, and is $35 regardless if the camper is utilizing the bus for one-way or round-trip transportation. The following bus stops are used for resident camp bus transportation. Please plan to arrive 15-20 minutes prior to pick-up and drop-off times. We
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)
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12:15 p.m. 12:45 p.m. (bus to camp) 1:30 p.m. (bus from camp)
2015 CAMP GUIDE
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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?
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.
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?
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
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
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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 camper’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.
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.
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Camp Gallahue • 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
2
3
You enjoy staying overnight at a friend's house.
1
2
3
You're good at being part of a team.
1
2
3
You shampoo and brush/comb your own hair.
1
2
3
When you see a bug, spider, or mouse, you don't like it, but you can handle it.
1
2
3
You make your own bed and keep track of your own things.
1
2
3
You love to make new friends and do things with other girls.
1
2
3
You like sleeping in an outdoor platform tent.
1
2
3
You like to help plan activities that you are participating in.
1
2
3
Walking to another building to use the bathroom and sink is no big deal.
1
2
3
You're okay sleeping in a tent with 3-4 other girls and an adult nearby.
1
2
3
You're willing to help with Kapers (camp chores: cleaning, setting tables, etc.).
1
2
3
You love singing songs, playing games having lots of fun!
1
2
3
You live by the Girl Scout Law.
1
2
3
You can't wait to get to camp!
FOR PARENTS: 1
2
3
You relax and enjoy yourself when your daughter is at a sleepover.
1
2
3
It would be fun only communicating by snail mail while your daughter is away.
1
2
3
You would be okay following the policies and procedures that apply to camp.
1
2
3
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.
1
2
3
You trust the camp director and counselors with your daughter's safety.
1
2
3
You think your daughter would enjoy sleeping in a tent with 3-4 other girls.
1
2
3
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.
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FOR GIRLS Typical day at resident camp
_______ TOTAL POINTS
7:15 a.m.
Wake up
8:15 a.m.
Breakfast
9 a.m.
Opening flag ceremony
9:30 a.m.
Morning activities (arts and crafts, canoeing, nature)
Noon
Lunch
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)
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)
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.
Late afternoon showers, resting (depends on unit)
FOR PARENTS _______ 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 having 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.
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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)
6 p.m.
Dinner
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)
2015 CAMP GUIDE
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Camp Gallahue • Resident camp
Resident camp sessions at a glance
Session 1 June 7-12
Ardath
Village
Hillcrest
Surf Divas
You Can't Do That at Camp
Best Day Ever
Grades 4-8
Grades 4-6
Reservation
Grades 2-5 Hoofprints I Grades 6-8
Art Attack
Slumber Party
Pony Tales 1
Grades 4-8
Grades 5-8
Grades 2-5
Session 3 June 21-26
Adventureland
Hawaiian Luau
Sampler 1
Saddle Club
Grades 6-12
Grades 5-8
Grades 2-5
Grades 4-8
Session 4 June 28-July 3
Under the Sea Grades 4-8
Summer Fun
Session 2 June 14-19
Grades 5-9
Olaf's Summer Care and Keeping of Magical Adventures Grades 2-5
Creatures Grades 4-9
Hagrid's First Years
Session 5 July 5-10
Camp Creatures Grades 4-8
Grades 4-6
Session 6 July 12-17
Kamp Katniss
Night Owls
Grades 5-8
Grades 4-6
Pony Tales 2
Yearlings
Grades 2-5
Grades 4-9
Sampler 2 Grades 2-5 Hoofprints 2 Grades 6-8
Session 7 July 19-24
Color Wars Grades 5-9
Horse and Goggles Grades 4-8
Aqua Sampler Grades 2-5
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Art Colony
Harley's Hill 12
Mystery of the Mysterious Code Grades 5-9 Sleep with the Wloves Grades 6-12
Hogwart's Express Grades 5-8
District Gallahue Grades 6-12
Outdoors and S'mores Grades 6-8
Indiana Jane Grades 5-9
Camp Jam Grades 6-12
Valley 1
Valley 3
Ringmasters
Buck Masters
Grades 7-10
Grades 7-9
Canoe Trek Grades 6-12
Wondering adventures Grades 8-12 Goonies
Coaster Crazy
Grades 4-8
Grades 7-12
Goonies
Gallahue's Sailing Regatta
Grades 4-8
Wrangler 2 Grades 9-12
Grades 6-12
Field Day Grades 6-8
Light's Out Grades 4-8
Discover Chicago
Wrangler 1 Grades 9-12
Grades 7-12
Splendid Spelunking
Cathching Fire
Grades 6-12
Grades 6-12
Mini Wranglers Grades 8-10
Ring Masters 2 Grades 7-10
Snapshots Grades 6-12 Trailblazers Grades 7-9
Moonlight Mischief Grades 5-8
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Valley 2
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Camp Gallahue • Resident camp
Trip units
Sleep with the Wolves • 1 week Grades: 6, 7, 8, 9, 10, 11, 12 What could be more fun than going to Gallahue AND getting to go to Wolf Park in Lafayette and spend one night with the wolves? First, come to Gallahue and take part in all the camp activities; swimming, boating, archery and more! Then we will take a trip to Wolf Park to spend the night observing the wolves in their habitat! Don’t worrywe sleep inside a building, not actually with the wolves!
denotes a session that is new this year
Canoe Trek • 1 week Grades: 6, 7, 8, 9, 10, 11, 12 This session is designed for girls who are voyagers at heart, longing to paddle the beautiful waters of Indiana. We will spend two days at camp practicing our paddling skills and two days out of camp canoeing along an Indiana river.
$250
$250
June 14-19
June 7-12
Splendid Spelunking • 1 week
Coaster Crazy • 1 week
Grades: 6, 7, 8, 9, 10, 11, 12 In this session we will travel to the caves of southern Indiana to explore the stalagmites and stalactites! Come to camp to participate in all our camp activities before heading down to explore. Get really muddy! Girls must be able to ride in a van and not get car sick and be able to crawl through tight spaces. We will have a splendid time!
Grades: 7, 8, 9, 10, 11, 12 Let’s go crazy and visit two theme parks in one week! Get ready to test your nerves on the rollercoasters and at the water parks! First, come to camp and enjoy time at Gallahue getting to know your new friends and counselors. Then we will pack our bags and head off to all the thrills! We will camp near the theme parks. Be ready to camp out in a tent!
$250 July 5-10
$325 June 14-19
Wondering Adventures • 2 weeks Grades: 8, 9, 10, 11, 12 Let’s wonder through Indiana. Choose what you want to do! We could travel to different state parks, shop in Nashville, try canoeing on a river close by, or even go to a drive-in movie! This unit is two weeks long; the girls stay over the weekend and do not have parent visits. The unit will plan their trips when they arrive to camp. Let’s wonder Indiana!
Discover Chicago • 1 week 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. Bring comfortable shoes; we will be walking a lot.
$350 June 7-19
$325 June 28-July 3
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Horse units
Hoofprints • 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,too.
All camp sessions will swim every day; do crafts twice a week, cook-out, canoe and other types of boating along with the themed activities described. Weather permitting, all horse units will ride as scheduled. denotes a session that is new this year 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.
Note: This unit is two weeks long; girls stay over the weekend and do not have parent visits. $310 Session 1: June 7-19 Session 2: July 12-24
Mini Wrangler • 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.
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.
Note: This unit is two weeks long; girls stay over the weekend and do not have parent visits. You must take the proficiency test at the Camp Gallahue open house on Sunday, May 31, 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.
Care and Keeping of Magical Creatures • 1 week Grades 5, 6, 7, 8, 9 Do you know what a Bowtruckle is? Or a blastended Skrewt? What should you give a sick unicorn? This unit will help you earn your O.W.L. while also riding our horses! Enjoy the world of Harry Potter’s weird animals while spending time at our barns. By completing your O.W.L at camp you could become a magizoologist!
$310 July 12-24
Buckmasters • 2 weeks
$200
Grades: 7, 8, 9 If you have 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 achery.
June 28-July 3
$310
Note: This is a horse unit where we teach horseback riding with other fun!
June 7-19
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Trailblazers • 2 weeks
Grades: 2, 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.
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!
$200
Note: This unit is two weeks long; girls stay over the weekend and do not have parent visits.
Session 1: June 14-19
$310
Session 2: July 5-10
July 12-24
Ringmasters • 2 weeks
Saddle Club • 1 week
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!
Grades 4, 5, 6, 7, 8 Like horses but not ready to come to camp for two weeks? In this session, you will have two ground lessons in which you will learn the basics of caring for a horse, and two riding lessons to use that knowledge. Enjoy all the other camp activities too while getting to know your favorite camp horse! $200 June 21-26
Note: This unit is two weeks long; girls stay over the weekend and do not have parent visits.
Wranglers 1 • 1 week
$310
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 and 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 May 31, 2-4 p.m.
Session 1: June 7-19 Session 2: July 12-24
Camp Gallahue • Resident camp
Camp Gallahue • Resident camp
Ponytails • 1 week
$310 June 28-July 3
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Camp Gallahue • Resident camp
Wrangler 2
Art Attack • 1 week
Grades 9, 10, 11, 12 Travel with us to Adamsville, Ohio to a Dude Ranch where you will stay in a cabin, wrangle cows, and ride trails! You must have attended Wrangler I last summer to attend or get special permission from Barb Nichols. Please plan on attending the proficiency test at our open house on May 31, 2-4 pm. This is the perfect way to spend the week with your favorite camp friends singing around the camp fire!
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.
$320
Aqua Sampler • 1 week
June 21-26
Grades: 2, 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.
$185 June 14-19
Yearlings • 1 week Grades: 5, 6, 7, 8 This is a good starting point for young campers who want to learn more about horses! Enjoy two ground lessons where you learn the basics of caring for a horse and two riding lessons to test your new skills.
$185 July 19-24
$200
Best Day Ever • 1 week
July 5-10
Grades: 2, 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.
Themed camp sessions All camp sessions will swim every day; do crafts twice a week, cook-out, canoe and other types of boating along with the themed activities described.
$185 June 7-12
denotes a session that is new this year
Camp Creatures • 1 week Grades: 4, 5, 6, 7, 8 Discover the animals that live at Gallahue! Meet Satin or Magic Ticket down at the barn. Camp has fun animals to learn about and get to know. We will spend time at the barn riding with the camp horses, fishing in the lake and finding other camp animals to play with. We will also make animal crafts to go along with our theme.
Adventureland • 1 week Grades: 6, 7, 8, 9, 10, 11, 12 Camp is an adventure in so many different ways! This week is for anyone who is adventurous and likes to try new things. Do you like to do treasure hunts and figure out clues to find your lunch? Would you like competing against your counselors? Join in the fun, and race against each other for the adventure of a lifetime!
$185 July 5-10
$185 June 21-26
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Camp Gallahue • Resident camp
Camp Jam • 1 week
Field Day • 1 week
Grades: 6, 7, 8, 9, 10, 11, 12 Camp Jam is a great way to spend a week with new friends. Play games, hang out and get to know everyone in your unit. Relax with spa treatments, compete in canoe races or even stay up all night. Camp Jam is what you want to do with your new friends.
Grades: 6, 7, 8 Games make camp fun, and this week we will play all types of games! From Olympic to scientific, you can try having an amazing race, go for target practice at our archery range or do water events like tug of war in a canoe. This session is a blast; don't miss out on the fun!
$185
$185
July 19-24
June 28-July3
Catching Fire • 1 week
Gallahue's Sailing Regatta • 1 week
Grades: 6, 7, 8, 9, 10, 11, 12 Are you ready to compete in 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 the victor. This time our game will focus on the lake. “May the odds be ever in your favor!”
Grades: 6, 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.
$185
$185
July 5-10
June 21-26
Color Wars • 1 week
Goonies • 1 week
Grades: 5, 6, 7, 8, 9 Are you ready for color wars? Each girl is placed on a team and wears a specific color headband or wristband to help everyone know which team she is on. Get ready to compete against the other tents in your unit! How many marshmallows can you fit in your mouth? Can you juggle scarves? What about racing a canoe with just your hands? Come to camp and try all these crazy games along with our regular activities. You will love Color Wars!
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! $185 June 21-26
$185 July 19-24 Sessions fill quickly … register early! Check our website before you register to find out which sessions are still available. It is updated daily.
District Gallahue • 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!” $185 June 28-July 3
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Hagrid’s First Years • 1 week
Indiana Jane • 1 week
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.
Grades 5, 6, 7, 8, 9 Are you into fossils and gemstones? Do you like archeology? Then this session is for you! Enjoy all the regular camp activities while we add in fossil digs and hunting for gemstones. Follow maps through Camp Gallahue to explore and find amazing rocks. We will also go horseback riding twice during the week.
$185 July 5-10
$200 July 12-17
Hawaiian Luau • 1 week 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.
Kamp Katniss • 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!”
$185 June 21-26
Hogwart’s Express • 1 week
$185
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!
July 12-17
Lights Out • 1 week Grades: 4, 5, 6, 7, 8 Find out what happens at camp after the sun goes down with night activities. Enjoy star-gazing, night canoeing, games, and traditional camp activities!
$185 June 21-26
$185 July 5-10
Horse and Goggles • 1 week
Moonlight Mischief • 1 week
Grades 4, 5, 6, 7, 8 Like horses and the water? Then this is the week for you. Take two riding lessons in the ring and spend tons of time at the waterfront. Learn the basics of horse care and then cool off at the lake. You can even sleep at the beach if you want!
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!
$200
$185
July 19-24
July 19-24
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Camp Gallahue • Resident camp
Mystery of the Mysterious Code • 1 week
Sampler • 1 week
Grades 5, 6, 7, 8, 9 Do you like CSI? Or Nancy Drew? Are you a detective at heart? Join us to solve the different mysteries at Camp Gallahue! You will still participate in all the regular camp activities- but with a mysterious twist for you to solve.
Grades: 2,3, 4, 5 Sample camp activities for six adventure-filled 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.
$185
$185
June 7-12
Session 1: June 21-26 Session 2: July 12-17
Night Owls • 1 week Slumber Party • 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: 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.
$185 July 12-17
$185
Olaf's Summer Adventures
June 14-19
Grades: 2, 3, 4, 5 What does Olaf do in the summer? Let's find out as we make snowmen on the beach! Feel the summer breeze while sailing in the lake. Come and have fun with Olaf at camp and enjoy all the things he wants to do in the summer! We will have a grand "Frozen" time!
Snapshots • 1 week Grades: 6, 7, 8, 9, 10, 11, 12 Spend the week taking pictures, scrap booking, and making other crafts with your photos. Enjoy traditional camp activities, too. $185
$185
July 12-17
June 28-July 3
Summer Fun • 1 week
Outdoors and S’mores • 1 week Grades 6, 7, 8 Everyone loves s'mores over a campfire. Each night we will cook a different dessert over the campfire. Enjoy all the regular camp activities while you learn to cook fun desserts! Make your favorite recipes and learn a few new ones to take home and share. $185 July 5-10
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! $185 June 28-July 3
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Surf Divas • 1 week
You Can’t Do That at Camp • 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!
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.
$185
$185
June 7-12
June 7-12
Under the Sea • 1 week 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. $185 June 28-July 3
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Forms
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 Labor Day • Sept 4-7
Each family must bring their own equipment and food. No campers, trailers, or motor homes, no hookups. No pets, smoking or alcohol allowed.
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: $125
*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 $50
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
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2015 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 ____________________ School ___________________________________ 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 Out of council
q No
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 ______________________________ )
__________________________________________________
q Hawaiian or Pacific Islander
Grade in fall (must be same as camper’s) ____________
Camper’s ethnic background
q Hispanic or Latina q Not Hispanic or Latina
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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 Nawakwa q Mounds
q Girl Scout Brownie (Grades 2-3) q Girl Scout Junior (Grades 4-5)
Session number: (circle one) 1
Leadership training
2
3
4
5
6
7
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 and Nawakwa 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
10-58-6220-2050 (Butler)
q
Check #
10-83-6230-3512 (Mounds)
q
Charge
$ _________________________
Day camp
10-83-6230-3612 (Sycamore Valley) __________________________
10-83-6230-3512 (Na Wa Kwa)
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2015 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
Check one: q Car rider Nawakwa only)
q Bus rider (Dellwood and
q Please check if you need American Disabilities Act assistance. Explain ________________________________
If bus rider, bus stop code __________________________
__________________________________________________
Bus stop location __________________________________
__________________________________________________
Session information Check one:
Do you wish to be in the same unit as your daughter?
q Yes q No
q Dellwood q Mounds
Daughter’s name __________________________________
q Nawakwa q Sycamore Valley
You will be assigned based on the needs of the day camp session, not necessarily with your daughter.
Session number: (circle one) 1
2
3
4
5
6
7 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?
Date of session____________________________________ With what age girls do you prefer to work with?
q Girl Scout Daisy (kindergarten-1)
q Yes, troop # __________ Service unit _____________
q Girl Scout Brownie (Grades 2-3)
q Yes, Juliette (individual Girl Scout)
q Girl Scout Junior (Grades 4-5)
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).
If yes, what years? _________________________________
Have you worked day camp before?
Position(s) held ___________________________________
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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. 3. q Girl
Day camp tag-a-long registration 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
Shirt size __________
Date of birth _________Grade (fall 2014) _________
q Please check if you need American Disabilities Act assistance. Explain _______________________________
Shirt size __________
_________________________________________________
Date of birth _________Grade (fall 2014) __________ 2. q Girl q Boy
q Boy
_________________________________________________
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 $30 = __(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 _____________________________________
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: 10-83-6230-3112 (Dellwood) 10-83-6230-3612 (Sycamore Valley) 10-83-6230-3512 (Nawakwa) 10-83-6230-3512 (Mounds)
Amount enclosed
q
Cash
q
Check #
q
Charge
$ _______________________
________________________
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5
Nawakwa
q
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5HEALTH 2014 Day Camp Health History CAMPER HISTORY FORM 1 Form
Camper Name: ________________________________________________
Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses
Birth Date: ____________
First
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
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
Diptheria, tetanus, pertussis (DTaP) or (TdaP) Tetanus booster (dT) or (TdaP) Mumps, measles, rubella (MMR) Polio (IPV) Haemophilus influenzae type B (HIB) 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
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Camper Name: ________________________________________________
Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses
Birth Date: ____________
First
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
No
11. Had fainting or dizziness? ..................................................... Yes
No
2. Ever had surgery? .............................. …………. Yes
No
12. Passed out/had chest pain during exercise? ….……………. Yes
No
3. Have recurrent/chronic illnesses? .......……….… Yes
No
13. Had mononucleosis ("mono") during the past 12 months?... Yes
No
4. Had a recent infectious disease? ....... …………. Yes
No
14. If female, have problems with periods/menstruation?.…….. Yes
No
5. Had a recent injury? ........................... …………. Yes
No
15. Have problems with falling asleep/sleepwalking? ............... Yes
No
6. Had asthma/wheezing/shortness of breath?...... Yes
No
16. Ever had back/joint problems?…….………...……………...... Yes
No
7. Have diabetes? .................................. …………. Yes
No
17. Have a history of bedwetting?………………….……………... Yes
No
8. Had seizures? .................................................... Yes
No
18. Have problems with diarrhea/constipation?……………….... Yes
No
9. Had headaches? …………………………………. Yes
No
19. Have any skin problems?…………………….......................... Yes
No
Yes
No
20. Traveled outside the country in the past 9 months?.............. Yes
No
10. Wear glasses, contacts, or protective eyewear?
Forms
5HEALTH 2014 Day Camp Health History CAMPER HISTORY FORM 1 Form
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: Yes
No
2. Ever been treated for emotional or behavioral difficulties or an eating disorder?……............................................................................. Yes
No
3. During the past 12 months, seen a professional to address mental/emotional health concerns?……….…………………………………. Yes
No
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)
No
1. Ever been treated for attention deficit disorder (ADD) or attention deficit/hyperactivity disorder (AD/HD)? ………………………........
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.
Parents/Guardians: STOP here. The rest of this is form is completed when the camper arrives at camp. Keep a copy for your records. Copyright 2008 by American Camping Association, Inc.
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2015 CAMP GUIDE
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Forms
Make this summer the best summer yet!
Share moments from your "best summer yet" with us!
@girlscoutsIN 54
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Forms
2015 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:
q Both parents q Mother only q Father only q Other ______________________________________________ Camper’s name ____________________________________________________________ Birth date ____________________ School _____________________________ 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 ___________________ Program Assistance Grant (PAG) information
Are you currently a registered member of Girl Scouts of Central Indiana?
Is financial assistance needed? q Yes
q Yes, troop # __________ Service unit _____________
q No
If yes, include PAG application and $10 deposit.
q Yes, Juliette (individual Girl Scout)
Name of only one friend that you want in your unit
q No, non-Girl Scout 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 honored.
Additional information (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
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Forms
Health history forms will be mailed in the confirmation packet. Please do not use the day camp health history form.
Resident camp individual registration form continued q Please check if you need American Disabilities Act
Bus transportation for Gallahue ($35 per session)
Check one
Do you need bus transportation? q Yes q No
q Gallahue q Nawakwa q Sycamore Valley q University Camp Programs
If yes, please indicate bus stop preference and whether you need one-way or round-trip transportation:
Session name ______________________________________
q One-way q To camp q From camp q Round trip
Date ______________________________________________
Bus stop (check one):
Session selection 1 choice
q q q q q q q
2 choice Session name ______________________________________ Date ______________________________________________ 3 choice Session name ______________________________________ Date ______________________________________________
Girl Scout Service Center at Kokomo (G1) Girl Scout Service Center at Lafayette (G2) Flying J Truck Stop, Spiceland (G3) Girl Scout Service Center at Terre Haute (G4) Nora Elementary School, northside Indpls (G5) Girl Scout Service Center at Indianapolis (G6) 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 the Program Assistance Grant, $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 _____________________________________
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
$35 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 10-58-6220-2053 Gems, IU, Tags 10-58-6220-3512 Nawakwa
q
Cash
q
Check #
________________________
q Charge
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2015 Troops Love Camping registration form Troop number ___________________________________________
Please list girls individually
Shirt size (specify youth or adult size)
Service unit _____________________________________________
1. _______________________________________
________
2. _______________________________________
________
Cell phone ______________________________________________
3. _______________________________________
________
Address _________________________________________________
4. _______________________________________
________
5. _______________________________________
________
6. _______________________________________
________
7. _______________________________________
________
8. _______________________________________
________
9. _______________________________________
________
10. _______________________________________
________
11. _______________________________________
________
12. _______________________________________
________
13. _______________________________________
________
14. _______________________________________
________
Please list adults individually
Shirt size
1. _______________________________________
________
2. _______________________________________
________
3. _______________________________________
________
4. _______________________________________
________
Contact name ___________________________________________ Home phone ______________ Work phone __________________
City ___________________________State ____ ZIP _____________ County __________________________________________________ E-mail address ___________________________________________
Session information check one Camp Sycamore Valley q July 13-15
q July 15-17
q July 20-22
q July 22-24
Age level of troop (fall 2013) check one q Girl Scout Brownie
q Girl Scout Junior
Payment information Number of girls = ______ x $85 =
$ _________
Number of adults = ____ x $25 =
$ _________
Total participants = ____ Total due =
$ _________
Program Assistance Grant (PAG) information 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
$ __________________________
Use additional paper if needed.
Cash Check #
___________________________
Charge
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2015 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 ________________
Please list the name, gender, age, and relationship to Girl Scout member of each person attending:
Is this your first time to attend family camp weekends?
q
Yes
q
q q
Weekend at Camp Na Wa Kwa (June 19-21)
No
Name
Gender Age
Relationship
_________________________________________________________
Labor Day Weekend at Camp Gallahue (Sept 4-7)
_________________________________________________________
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: $50
_________________________________________________________
____ One cabin unit (Deerpath) • Fee per family: $50
_________________________________________________________
____ 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: $125 ____ Four tent units • Fee per family: $50 ____ Adirondack Unit (Harley’s Hill)• Fee per family: $25 ____ Primitive camping site • Fee per family: $25
o 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 Receipt to: 10-83-6230-3510 (Camp NaWaKwa, June 19-21) 10-83-6230-3210 (Camp Gallahue, Labor Day)
Amount enclosed
$ _______________________
q q q
________________________
Cash Check # Charge
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.
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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: q Troop (see section I)
q Individual (see section II)
q 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?
q Yes
q 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 _________________
School ________________________________________________________________________________________________ Does girl receive free/reduced lunch at school?
q Yes
q No
Girl wishes to attend the following program activity:__________________________________________ Council program activity:
q Troop program activity
q Day camp
q 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.
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Forms
Program Assistance Grant Application Girl Scouts of Central Indiana Section III: Camp PAG (circle appropriate grade level) Submit a $10 deposit with your Program Assistance Grant application. The application will not be processed until the $10 fee has been received by Girl Scouts of Central Indiana.
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 _____________________ School________________________________________________________________________________ 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? q Yes
q No
What are your sleeping arrangements?
q Tents
q Hotel
q Other
Do you have additional insurance other than Girl Scouts? q Yes
q 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? q Yes Did the troop/girl participate in the Fall Product Sale Program?
q Yes
q No
q No
If no, why not? _____________________________________________________________________ Did the troop/girl participate in the Girl Scout Cookie Program?
q Yes
q No
If no, why not? _____________________________________________________________________
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All applicants please continue to Section V.
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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 amount requested ____________________________________ Total annual income: (Please check the appropriate amount) q $0-$12,000 q $15,001-$18,000 q $21,001-$25,000 q $30,001-$40,000 q $50,001-$60,000 q $12,001-$15,000 q $18,001-$21,000 q $25,001-$30,000 q $40,001-$50,000 q 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 # ____________
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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
Occupation
(
(
)
Home Phone
(
$150 $25
PAYMENT INFORMATION:
Employer
Membership Fee: $
)
15
Donation: $
Business Phone
Total Attached: $
)
Cell Phone
I wish to opt in: Texts E-mails
E-mail Address
Cash
Address is same as girl Parent/Guardian (2) First Name
Middle
Check*
Amex Discover Visa MasterCard Other
Last
Address Name on Credit Card
(
Occupation
)
(
Home Phone
(
)
Credit Card #
Business Phone
)
Cell Phone
PERMISSION
Last
Address
Employer
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.
Council Code: PATHWAY OF ENTRY:
I wish to opt in: Texts E-mails
E-mail Address
I wish to opt out at this time.
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 2014:
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.
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Adult Membership Join the global network of 3.2 million Girl Scouts Membership Year through 9/30/20
GIRL SCOUT MISSION Girl Scouting builds girls of courage, confidence, and character, who make the world a better place. MEMBERSHIP OPTIONS:
Check one:
New Member
CONTACT INFORMATION
Title or salutation:
Renewing Member
Mrs.
Ms.
Name: First
Miss
Lifetime Member Mr.
Dr.
GSUSA ID (if known)
Annual Membership
Other:
Annual fee: $15
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
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)
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
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
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) $500 $250 $100 $50 Other: $
$150 $25
PAYMENT INFORMATION: 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
GET INVOLVED
Name on Credit Card PARTICIPATE WITH GIRLS DIRECTLY: (check all that interest you)
GET INVOLVED “BEHIND-THE-SCENES”: (check all that interest you)
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
Credit Card #
Expiration Date
Signature
ACCEPTANCE
Date 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.
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.
*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: Council Code: Service Unit/Team:
Signature
Date
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.
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