2011
Day/Twilight Camp and Summer Extreme Guide
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Contents Camp Information 2
Summer at a Glance 6 Day/Twilight Camp
Registration Information and Deadlines 3 Other Information 4 Day/Twilight Camp Sessions 11
Summer Extreme
Adult Volunteers 3 Registration Information and Deadlines 3 Other Information 4 Summer Extreme Events 14 Financial Assistance Form 23
Center Section
Summer Volunteer Application Day/Twilight Camp Registration Form Summer Extreme Girl Registration Form Summer Extreme Adult/Sibling Registration Form
Find it Faster Know what type of activity your daughter wants to do this summer? Use Focus Icons to search by type of program.
Arts/History
Healthy Living
Outdoor Education
Science/ Technology
General Session
Grade levels are listed by color to make it easier to spot the programs your daughter can participate in!
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Day/Twilight Summer Extreme Information
Girl Scouts of Texas Oklahoma Plains welcomes you to the Summer Activity Guide! Welcome to another summer full of wonderful activities for Girl Scouts to enjoy all summer long. Your daughter will have a great time while learning skills, enjoying new experiences and meeting new friends.
Important Dates to Remember April 1 June 6 – August 1
Placement begins. (Registrations received prior to or on April 1 will be included in a random draw for placement.) Day/Twilight Camp and Summer Extreme season.
*Registration for all summer activities closes seven days prior to activity start date.
Volunteers Make It Happen Day/Twilight Camps • • • • • • •
Rooted in Girl Scout traditions. Licensed by the State of Texas. Camps offered in this booklet meet the highest standards of safety set by Girl Scouts of the USA and the Texas Youth Camp Safety Act. Day/Twilight camps are an outdoor experience. Girls will spend most of the day outside exploring and enjoying nature. Operated by trained volunteers. No employed staff. Volunteers are needed in order to serve as many girls as possible.* Extra bonus for Day/Twilight Camp volunteers – your Girl Scout daughters attend for free! For all volunteers over the age of 18, successful completion of a Criminal Background Check and a 90-minute “Play It Safe” training are required for appointment to this volunteer position (training is provided).
*If you are interested in volunteering, please contact the Volunteer Camp Director (listed in the camp description in the Day/Twilight section of this book) and submit the Summer Volunteer Application with your registration. The staff contact person for Day/Twilight Camps is Megan Ibarra, 817-735-5326 or mibarra@gs-top.org.
Summer Extreme
• Partners with resources throughout our communities. • Provides high quality programs. • Needs Girl Scout volunteers. Every Summer Extreme event MUST have at least two adult Girl Scout volunteers present. • For all volunteers over the age of 18, submission of a Summer Volunteer Application and completion of a Criminal Background Check are required. • Provides wonderful activities for girls and families: o Events for individual girl participation (not designed for whole troops). o My Family and Me – events for girls and their family members Each girl registration for Summer Extreme family activities must be accompanied by at least one adult (18 years or older) registration form; in cases of siblings, one adult may register with more than one girl. o My Buddy and Me – events for girls and an adult (usually a parent or adult family member).
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When • • • •
Placement of registrations begins on April 1. After April 1, registrations will be processed daily first come, first placed, until the sessions are full or until the close date. Registration will close seven days prior to the event date or first day of camp, with no additions except those on the waiting list. No on-site registrations!
How • • • • • • •
Separate registration forms are required for each girl and each event/camp. Please submit one check for all Summer Extreme events that your daughter is registering for and a separate check for all Day/Twilight Camp sessions she is registering for. Registrations are not accepted by phone or email unless the fee is paid with a credit card or with Cookie Bucks. No on-site registrations or payment will be accepted . Be sure to completely fill out both sides of each form and include signature and full payment. Incomplete registrations will not be processed and will be returned. The immunization history must show dates, including month and year. Terms like “up to date,”or “current” or “on file with the school” cannot be accepted. For religious or health exemptions, contact the Day/Twilight Camp Registrar at 817-737-7272 or 800-582-7272.
Out-of-Council Girls • • • •
Girl Scouts who are not currently registered as a member of Girl Scouts of Texas Oklahoma Plains may attend Summer Extreme or Day/Twilight Camp. Registration for out-of-council girls will begin on April 8. An additional fee of $5 will be added for all Summer Extreme events. An additional fee of $10 will be added for all Day/Twilight camps.
Day and Twilight Camp General Information
Registration forms and fees for activities listed in this Summer Guide, should be sent to: Girl Scout Center 4901 Briarhaven Rd., Fort Worth, TX 76109 Office: 817-737-7272 or 800-582-7272 Fax: 817-732-1261 Summer Extreme Registrar: Day/Twilight Camp Registrar:
Day/Twilight Summer Extreme Information
Registration Information and Deadlines
Laura Jones at 817-735-5311 or 800-582-7272 or ljones@gs-top.org Nicole Durham at 817-735-5345 or 800-582-7272 or ndurham@gs-top.org
Fees and Payment
General Information • Girls who are not registered Girl Scouts must add a $12 membership fee with their event/camp registration. • Full payment must accompany the registration form and can be paid in cash, by credit card, check, money order, or with Cookie Bucks. • Cookie Bucks: $1 fee = $1 in Cookie Bucks. • Cookie Bucks may be used to pay for girl fees only. Family and adult fees may not be paid using Cookie Bucks. • Cookie Bucks will not be refunded if cancellation procedures are not followed. • If sisters are registered Girl Scouts in Girl Scouts of Texas Oklahoma Plains and both participated in the 2011 Cookie Sale, a one-time transfer of any number of cookie packages from one sister to another may be made.
Specific Information for Day/Twilight Camps • •
Fees include a large Day/Twilight Camp patch for the first camp attended and a Sun or Moon patch for each additional camp attended. Cookie Bucks: 400 packages = one full Day/Twilight Camp session
Specific Information for Summer Extreme •
Fees include a large Summer Extreme patch for the first event attended and a smaller patch for each additional event attended.
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Day/Twilight Summer Extreme Information
Financial Assistance
We believe all girls should have the opportunity to benefit from the Girl Scout program experience. We recognize that it may not be possible for all families to afford registration fees. Depending on available funding, a limited amount of financial assistance may be available to cover part of, or the entire fee. • An applicant for financial assistance must be a registered Girl Scout in Girl Scouts of Texas Oklahoma Plains. • Financial Assistance applications will be processed on a first-come, first-served basis. All requests for financial assistance will receive a response. Applications are included in back of this book. • Only one application for financial assistance can be awarded each year, per girl.
Session Placement and Confirmation
Within two weeks of placement, parents will receive a written confirmation postcard or letter of placement or wait list status. Confirmation letters will include additional information and directions to the camp location and a full address for Summer Extreme events. Please do not call to confirm placement or wait-list status before April 15, to allow time for processing initial registrations. If you do not receive a confirmation card or letter at least seven days prior to the event start date, please contact the registrar’s office to verify placement or wait list status.
Waiting Lists and Cancellations Waiting Lists • •
If a session is full, parents will be notified that their daughter has been placed on a wait list. If space becomes available, parents will be contacted. If a girl cannot be placed, her fee will be refunded.
Cancellation Policy • • • • • • • •
To cancel a registration for a summer event, contact the council office registrar either by phone or email. If a participant cancels before registration closes, a refund of the activity fee, less 20%, will be given. If a participant cancels after the registration close date, no refund will be given. If a girl does not attend an activity, a refund will be made for medical reasons only. A written request for a refund, accompanied by a doctor’s statement, must be received within 30 days of the activity missed. If the camp health supervisor sends a camper home for medical reasons, and the camper does not return to camp for the remainder of the time, a refund will be made on a pro-rated basis. If a girl leaves the event or camp early for any reason other than for a medical reason, no refund will be made. If a girl is placed on the waiting list and cannot be placed, a full refund will be issued. If the event is cancelled, a full refund will be issued. Reasons for cancelling include, but are not limited to, severe weather or not reaching the minimum number of participants.
Other Information Adult Volunteers
Volunteers for Day/Twilight Camp and Summer Extreme events must be registered adult members of Girl Scouts of Texas Oklahoma Plains and complete the Summer Volunteer Application found in this booklet. Submit the Summer Volunteer Application form with your daughter’s registration form.
Specific Information for Day/Twilight Camp Volunteers • • •
A Day or Twilight Camp informational session is required for all camp volunteers and will be provided at no cost. Adult volunteers will be notified by the Camp Director regarding dates and times of session. Volunteering has a bonus! Girl Scout daughters of full-time Day/Twilight Camp volunteers attend for free. School-age boys or preschool children of volunteers can also attend by registering using the Day/Twilight Camp Registration/Health form. Please send a program fee of $2 per child for boys or pre-schoolers. There may be a small additional fee to cover activities and meals for boys and pre-schoolers. Camp Directors will notify volunteers as needed.
Specific Information for Summer Extreme Volunteers • •
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Except for family events, adults are not required to stay for Summer Extreme events. If your schedule permits or requires you to stay at the activity due to travel times or other reasons, please consider volunteering to help at the event. Your help is needed!
One of the excellent Girl Scout Leadership Experience opportunities for older girls is to become a Program Aide. Program Aides are trained girls ages 12 – 17 who make a commitment to teach skills to younger Girl Scouts. Day/Twilight Camp provides a wonderful opportunity for Program Aides to accumulate service hours while honing their leadership skills. Girls who apply to be a Day/Twilight Camp Program Aide must have completed a Basic Program Aide course plus either: 1. Program Aide Outdoor Skill Builder camping weekend or; 2. Program Aide Day/Twilight Camp Specialization. (Program Aide trainings are listed at www.gs-top.org/events and in the leader enewsletter, The Runner) Program Aides should complete a Day/Twilight Camp Registration form and a Summer Volunteer Application. Place both applications in an envelope marked “Day/Twilight Camp Program Aide,” and mail or take to the council office. Camp Directors make decisions on how many Program Aides each camp needs and will contact the applicant within two weeks of placement. Because Program Aides are “working” much of the day, no fee is charged for the girls to participate and earn service hours.
Summer Extreme Tagalongs
A tagalong is a child not registered in the activity, such as a sibling of any age. Tagalongs are not covered by Girl Scout insurance and change the dynamics of the event, taking away from an equal learning environment for the girls and/or the event facilitator. Tagalongs may not attend Summer Extreme events.
Transportation
Transportation to and from summer activities is the responsibility of the parent or guardian.
Girls with Special Needs
Please inform us of any special adaptations or accommodations necessary to assist your daughter’s participation in summer program. Be sure to attach a detailed note with the registration forms.
Questions Day/Twilight Camp
Contact Megan Ibarra at 817-735-5326 or 800-582-7272 or mibarra@gs-top.org or call the Camp Director listed for the camp of your choice.
Day/Twilight Summer Extreme Information
Day/Twilight Camp Program Aide Opportunities
Summer Extreme
Contact Angel Moore at 817-735-5314 or 800-582-7272 or amoore@gs-top.org
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Summer At a Glance
ALL GRADE LEVELS Date
Title
Page
6/4
My Family and Me: Fishing
15
6/6-10
Pecan Grove Twilight Camp - Exploring Animals
11
6/6-10
Granbury Twilight Camp - Things Every Princess Needs to Know!
11
6/13-17
Twilight Trails Twilight Camp - Survivor
11
6/18
My Family and Me: Fishing
15
6/20-24
Sunshine Meadows Twilight Camp - Blast to the Past!
11
6/27-30
Wooded Acres Twilight Camp - Campwanahavalotafun!
12
7/11-15
Wildlife Trails Day Camp - Swimming Away
12
7/17
My Buddy and Me: Ceramics
21
Date
Title
Page
6/4
Master of Disaster
15
6/11
Child Safety Program
16
6/12
My Buddy and Me: Klay Kids
17
6/25
My Buddy and Me: Badge of Honor
19
6/26
My Buddy and Me: Yoga
19
7/9
Child Safety Program
16
7/17
My Buddy and Me: Yoga
19
7/23
Master of Disaster
15
Date
Title
Page
6/4
Master of Disaster
15
6/11
Child Safety Program
16
6/12
My Buddy and Me: Klay Kids
17
6/16
My Space
17
6/17
Pioneer Sampler
17
6/24
Pioneer Sampler
17
6/25
My Buddy and Me: Badge of Honor
19
6/26
My Buddy and Me: Yoga
19
7/9
Child Safety Program
16
7/17
My Buddy and Me: Yoga
19
7/21
My Buddy and Me: Me and My Shadow
21
7/22
Fanciful Flights
21
7/23
Master of Disaster
15
Date
Title
Page
6/4
Balloon Twisting - Beginners
14
6/4
Master of Disaster
15
6/10
Balloon Twisting - Beginners
14
6/11
Child Safety Program
16
DAISY
BROWNIE
JUNIOR
6
My Buddy and Me: Candle Making
17
6/12
My Buddy and Me: Klay Kids
17
6/15
My Buddy and Me: Graffiti Crew
17
6/16
My Space
17
6/17
Balloon Twisting - Intermediate
14
6/17
Pioneer Sampler
17
6/18
Horse Fan
18
6/23
Kayak Basics
18
6/23
Kayak Techniques
18
6/24
Pioneer Sampler
17
6/25
Babysitter Training
19
6/25
Glass Fusing
19
6/26
BeadDazzled
19
6/26
My Buddy and Me: Yoga
19
6/29
Graffiti = Art or Vandalism?
20
7/1
Balloon Twisting - Intermediate
14
7/7
Kayak Basics
18
7/7
Kayak Techniques
18
7/8
Balloon Twisting - Advanced
14
7/9
Child Safety Program
16
7/9
My Buddy and Me: Body Mist
20
7/16
Babysitter Training
19
7/16
Power of One
20
7/17
My Buddy and Me: Yoga
19
7/22
Get Moving – Junior Journey Playshop
21
7/23
Doggone that Training and First Aid!
21
7/23
Master of Disaster
15
7/26
Create-a-Fashion
22
7/28
My Buddy and Me: Get Moving – Junior Journey Playshop
22
7/28
Science is Everywhere!
22
7/29
Balloon Twisting - Advanced
14
7/29
Puzzles, Puzzles, Everywhere!
22
7/30
Horse Fan
18
Date
Title
Page
6/4
Balloon Twisting - Beginners
14
6/4
Master of Disaster
15
6/10
Balloon Twisting - Beginners
14
6/10
Lampworking
16
6/11
Discover Scuba
16
6/11
My Buddy and Me: Candle Making
17
6/15
My Buddy and Me: Graffiti Crew
17
6/16
My Space
17
6/17
Balloon Twisting - Intermediate
14
Summer At a Glance
6/11
CADETTE
7
Summer At a Glance
6/18
Wheel Throwing
18
6/22
Discover Scuba
16
6/23
Kayak Basics
18
6/23
Kayak Techniques
18
6/25
Babysitter Training
19
6/25
Glass Fusing
19
6/26
BeadDazzled
19
6/26
My Buddy and Me: Yoga
19
6/29
Graffiti = Art or Vandalism?
20
7/1
Balloon Twisting - Intermediate
14
7/6
Discover Scuba
16
7/7
Kayak Basics
18
7/7
Kayak Techniques
18
7/8
Balloon Twisting - Advanced
14
7/9
My Buddy and Me: Body Mist
20
7/13
Flying High at Lockheed Martin
20
7/16
Babysitter Training
19
7/17
My Buddy and Me: Yoga
19
7/23
Master of Disaster
15
7/26
Create-a-Fashion
22
7/29
Balloon Twisting - Advanced
14
7/30
Discover Scuba
16
Date
Title
Page
6/4
Balloon Twisting - Beginners
14
6/9
Car Clinic
15
6/10
Balloon Twisting - Beginners
14
6/10
Lampworking
16
6/11
Discover Scuba
16
6/11
My Buddy and Me: Candle Making
17
6/15
My Buddy and Me: Graffiti Crew
17
6/16
My Space
17
6/17
Balloon Twisting - Intermediate
14
6/18
Wheel Throwing
18
6/22
Car Clinic
15
6/22
Discover Scuba
16
6/23
Kayak Basics
18
6/23
Kayak Techniques
18
6/25
Babysitter Training
19
6/25
Glass Fusing
19
6/26
BeadDazzled
19
6/29
Graffiti = Art or Vandalism?
20
7/1
Balloon Twisting - Intermediate
14
7/6
Discover Scuba
16
SENIOR
8
Kayak Basics
18
7/7
Kayak Techniques
18
7/8
Balloon Twisting - Advanced
14
7/9
My Buddy and Me: Body Mist
20
7/13
Flying High at Lockheed Martin
20
7/14
Car Clinic
15
7/16
Babysitter Training
19
7/26
Create-a-Fashion
22
7/27
Car Clinic
15
7/29
Balloon Twisting - Advanced
14
7/30
Discover Scuba
16
AMBASSADOR Date
Title
Page
6/4
Balloon Twisting - Beginners
14
6/9
Car Clinic
15
6/10
Balloon Twisting - Beginners
14
6/10
Lampworking
16
6/11
Discover Scuba
16
6/11
My Buddy and Me: Candle Making
17
6/15
My Buddy and Me: Graffiti Crew
17
6/16
My Space
17
6/17
Balloon Twisting - Intermediate
14
6/18
Wheel Throwing
18
6/22
Car Clinic
15
6/22
Discover Scuba
16
6/23
Kayak Basics
18
6/23
Kayak Techniques
18
6/25
Babysitter Training
19
6/25
Glass Fusing
19
6/26
BeadDazzled
19
6/29
Graffiti = Art or Vandalism?
20
7/1
Balloon Twisting - Intermediate
14
7/6
Discover Scuba
16
7/7
Kayak Basics
18
7/7
Kayak Techniques
18
7/8
Balloon Twisting - Advanced
14
7/9
My Buddy and Me: Body Mist
20
7/13
Flying High at Lockheed Martin
20
7/14
Car Clinic
15
7/16
Babysitter Training
19
7/26
Create-a-Fashion
22
7/27
Car Clinic
15
7/29
Balloon Twisting - Advanced
14
7/30
Discover Scuba
16
Summer At a Glance
7/7
9
Day/Twilight Camp
Granbury Twilight Camp - Everything a Princess Needs to Know!
Ever needed to know what poison ivy looks like or what to do if there is a tornado? Then come to Camp Granbury where as a princess in training you will learn what to do in emergency situations while doing fun princess activities. Also have fun with a royal sleepover on Thursday night! Granbury campgrounds are located on a ranch where girls will be doing activities in the main building which is open to the elements, as well as outside in grass covered terrain. Grade: All Ages Date: Monday, June 6 through Friday, June 10 Time: 4:00 – 8:00 p.m. Place: Reunion Court, 701 Reunion Court, Granbury, TX 76048 Fee: $65 Min/Max: 25/100 Contact: Lori Smith at 817-776-1194
Pecan Grove Twilight Camp - Exploring Animals
Day/Twilight Camps
Day Camps Listed in Date Order
Ever wanted to see wildlife up close? Surround yourself with animal friends while participating in songs, games and crafts with your human friends! Plus a family dinner on Friday, followed by an overnight for the girls! Pecan Groves campgrounds are located in front of the Masonic home, under a grove of pecan trees. Girls will be out in the elements throughout the duration of camp. Grade: All Ages Date: Monday, June 6 through Friday, June 10 Time: 5:30 – 9:30 p.m. Place: Masonic Home, 1501 West Division, Arlington, TX 76102 Fee: $65 Min/Max: 30/100 Contact: Felicia Decker at 817-274-1237
Twilight Trails Twilight Camp - Survivor
Can you survive Camp Twilight Trails? Whether you’re young or old, during this fun-filled week, your “tribe” will be faced with outdoor challenges in games, crafts, songs, and archery. Outwit... Outplay... Outcamp! Twilight Trails campgrounds are located at Camp Burnett, where girls will be doing activities under the shade of trees or in the grasscovered meadow. Grade: All Ages Date: Monday, June 13 through Friday, June 17 Time: 4:00 – 8:30 p.m. Place: Camp Burnett, 3301 North White Chapel Road, Southlake, TX 76092 Fee: $65 Min/Max: 25/125 Contact: Toni Adkins at 817-688-8076
Sunshine Meadows Twilight Camp - Blast to the Past!
Sunshine Meadows this year will be going back in time! Experience what girls did for fun in the past. Challenge your campmate to a joust, maybe a fencing duel or a friendly competition in archery and, of course, have a blast at camp with crafts, games, cooking and everything in between!! On the last day of camp get ready for an overnight that will go down in history! Sunshine Meadows camp grounds are located behind a farming neighborhood. Activities will be held under the shade of trees or in the grass-covered meadow. Grade: All Ages Date: Monday, June 20 through Friday, June 24 Time: 5:00 – 9:00 p.m. Place: G. A. Walker Property, 160 Lace Lane, Burleson, TX 76028 Fee: $65 Min/Max: 20/200 Contact: Debra Shackleford at 817-454-0226
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Day/Twilight Camps
Wooded Acres Twilight Camp - Camp Wanahavalotafun!
Looking for summer fun? Enjoy the beauty of Wooded Acres while hiking, singing camp song favorites, making friends, knot-tying, bird watching and making beautiful crafts and swaps. Try your hand at pitching tents and building a campfire with only two sticks! Come out and experience all the fun camp can offer! Wooded Acres campgrounds are located behind a small community center where girls will be under the shade of trees and on grass-covered terrain. Some activities may be held in the building. Grade: All Ages Date: Monday, June 27 through Thursday, June 30 Time: 5:00 – 9:00 p.m. Place: East Broad Presbyterian Community Center, 4517 East Broad Street, Mansfield, TX 76063 Fee: $65 Min/Max: 25/150 Contact: Joyce Campbell at 682-222-7401
Wildlife Trails Day Camp - Swimming Away
Jump in – the water is fine! Come to Wildlife Trails and enjoy a week of swimming and learning about nature in and out of the water. Have a blast with a camp cookout for all ages! Wildlife Trails campgrounds will be at the parks pavilion and in the grass field located adjacent to the pavilion. Girls will attend swim days at the pool located inside the park. Grade: All Ages Date: Monday, July 11 through Friday, July 15 Time: 8:30 a.m. – 3:30 p.m. Place: S. J. Stovall Park, 2800 West Sublet, Arlington, TX 76001 Fee: $85 Min/Max: 30/150 Contact: Tracey McCullough at 682-564-4526
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Girl Scouts of Texas Oklahoma Plains, Inc.
DAY/TWILIGHT CAMP REGISTRATION FORM Form may be copied as needed. Please print clearly and use a pen with black or blue ink. Fill out entire form; incomplete forms will be returned and must be completed and resubmitted before a girl is placed. Mail or take the form with fee to your Regional Office or Service Center. If paying by credit card, you may fax the form; registrations will not be accepted by phone or email.
GIRL INFORMATION Camp name: Are you registering a:
Dates:
Camper Staff Child Program Aide
First name:
Last name:
Address:
City:
Phone:
Middle initial: State:
Zip:
Birthdate:
School Grade in Fall 2011:
Registered, Troop #:
Juliette Not registered Out of Council? Council Name: Girl Scout Level in Fall: Daisy Brownie Junior Cadette Senior Ambassador Non-GS Allergies: Check those that apply and list specific nature of reaction. Animals Pollen Medicine Plants Hay Fever Insect Stings Food Other Describe reaction: Immunization History (must have dates):
Month/Year primary series completed:
Month/Year last booster:
DTP
Varicella:
MMR
Hepatitis B:
Polio
PARENT/GUARDIAN INFORMATION Custodial parent/guardian name:
Primary Contact #:
Address (if different from above) :
Secondary Contact #:
E-Mail Address (for confirmations): Second parent/guardian name:
Primary Contact #:
Emergency Contact:
Primary Contact #:
Address:
Secondary Contact #:
Who will pick your child up from camp?
Drivers License #:
State:
I know of no reason, other than information indicated on this form, why my child should not participate in prescribed activities as noted. I give permission for my child to attend and participate in all activities related to this event. I understand some risk is inherent in a natural setting and in activities such as archery, horseback riding, swimming, canoeing and sailing. I understand safety equipment will be provided and agree that my child will be responsible for wearing protective equipment and following safety rules as instructed. I understand that there may be minimum skill requirements for some activities, and if my child does not meet them, she will not be allowed to participate in that activity. I will not allow her to attend the event if she becomes exposed to any contagious disease or if for any reason I do not consider her in good physical condition. Medications will be administered by or in the presence of the responsible adult and only with written permission from a legal guardian or physician. Medications should be in the original container, carefully labeled with the girl's name and dosage and must be accompanied with written instruction from a legal guardian or physician. In case of accident or illness, I authorize a representative of GS-TOP to give consent to a physician and/or hospital for medical and/or surgical treatment. It is understood that every effort will be made to notify me before such action is taken. I understand that GS-TOP may use photographs or audio/video of my daughter in event activities for publicity. I understand the Council cannot be responsible for loss of valuables. If not a currently registered Girl Scout, I give permission for her to join.
Date:
Custodial Parent/Legal Guardian signature:
FEE INFORMATION
METHOD OF PAYMENT
Camp fee:
+ $
$12 membership fee (if not a member)
+ $
Cookie Bucks: _____ Boxes or $_____
- $
Payment must be included with registration or it is incomplete.
Check enclosed payable to GS-TOP: Charge my credit card this amount:
Sister-to-sister transfer:
Credit Card type: (circle one) VISA
__________________________________________________________
Credit Card number:
Sister's name
Troop #
- $
Exp. Date:
Out-of-council Fee (if applicable)
+ $10
Cardholder’s name:
Registration: Staff Child or Program Aide
FREE
Cardholder’s signature:
Total Due
$
Camp: Fee:
Date Date: P/W:
$ Discover
Amex
# of Boxes
Financial Assistance Requested
Office Use Only:
MC
$
Amt
Type
Balance
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Girl Scouts of Texas Oklahoma Plains, Inc.
SUMMER VOLUNTEER APPLICATION There shall be no discrimination in the recruitment, selection, learning opportunities, placement, retention and recognition of adult volunteers regardless of race, color, religion, sex disability, age or national origin.
VOLUNTEER INFORMATION I would like to apply for:
Day/Twilight Camp Volunteer Program Aide for Day/Twilight Camp Summer Extreme Volunteer
Name of Camp or Summer Extreme where you would like to volunteer: First name: Gender:
Male Female
Last name: Birthdate:
Address: Day Phone:
Are you a registered Girl Scout?
Social Security #: City:
Evening Phone:
Email:
Middle initial:
State:
Zip:
Cell Phone: Drivers License #:
Yes No If not, please include $12 membership fee with application.
If applying to be a Camp Program Aide, when did you complete the Basic PA course? If adult, name of daughter(s):
School(s):
List any special skills or hobbies you would like to share with participants: Have you ever been convicted of, received deferred adjudication, or probation for a felony or misdemeanor?
Entering grade(s):
Yes No
If yes, please state the offense, date and location:
EXPERIENCE 1. Place:
Employee Volunteer
Supervisor name:
Address:
City:
Phone:
Employed from:__________________ to ___________________
2. Place:
State:
Zip:
Employee Volunteer
Supervisor name:
Address:
City:
Phone:
Employed from:__________________ to ___________________
3. Place:
State:
Zip:
Employee Volunteer
Supervisor name:
Address:
City:
Phone:
Employed from:__________________ to ___________________
State:
Zip:
REFERENCES Persons not related to you who can judge your qualifications for this position. If you have volunteer experience, one reference should be from them.
1. Name:
Address:
Phone:
Email:
2. Name:
Address:
Phone:
Email:
3. Name:
Address:
Phone:
Email:
Additional information: On another sheet, briefly list education, training, skills or other experiences that will enable you to carry out the responsibilities of the volunteer position you are seeking. Include experience in working with children, and your reason(s) for wanting to volunteer for GS-TOP. 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.
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
Signature: Office Use Only: Referral based on:
I have read the Girl Scout Promise and Law and will allow them to guide my actions. I certify that all information provided on this application is true and complete and that I have not knowingly withheld any information, which might, if disclosed, affect my application unfavorably. I understand that any misrepresentation or omission of facts on this application may be considered justification for non-acceptance or dismissal if discovered at a later date. I give permission for my references to be checked. I understand that appointment to a volunteer position is contingent upon the completion and review of a criminal background check.
Date: Appointment: (insert event name) Signature of Authorized Council Personnel:
Pending based on: Refusal based on:
Date:
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Girl Scouts of Texas Oklahoma Plains, Inc.
SUMMER EXTREME GIRL REGISTRATION FORM Form may be copied as needed. Please print clearly and use a pen with black or blue ink. Fill out entire form; incomplete forms will be returned and must be cmpleted and resubmitted before a girl is placed. Mail or take the form with fee to your Regional Office or Service Center. If paying by credit card, you may fax the form; registrations will not be accepted by phone or email.
GIRL INFORMATION Event Title:
Date of Event:
First name:
Last name:
Address:
City:
Registered, Troop #:
Juliette Not registered
State:
Zip:
Birthdate:
School Grade in Fall 2011:
Phone:
Middle initial:
Out of Council? Council Name:
HEALTH HISTORY Allergies: (check all that apply and list nature of reaction)
Insect Stings
Other
Animals Pollen Medicine Plants Food Hay Fever
Describe reaction:
Chronic and recurring illness: (check all that apply)
Heart defect/disease Bleeding/clotting disorder
Ear infection Asthma Seizures Diabetes Hypertension Musculoskeletal disorder Other, specify:
Explain items that are checked: (indicate information useful to the adult in charge. Indicate activities to be restricted)
Other health conditions: (indicate any conditions which would impact her participation in this activity)
PARENT/GUARDIAN INFORMATION Custodial parent/guardian name:
Primary Contact #:
Address (if different from above) :
Secondary Contact #:
E-Mail Address (for confirmations): Second parent/guardian name:
Primary Contact #:
Emergency Contact:
Primary Contact #:
Address:
Secondary Contact #:
Specific transportation arrangements we should know about:
Check if parent/legal guardian would like to volunteer with activity. I know of no reason, other than information indicated on this form, why my child should not participate in prescribed activities as noted. I give permission for my child to attend and participate in all activities related to this event. I understand some risk is inherent in a natural setting and in activities such as archery, horseback riding, swimming, canoeing and sailing. I understand safety equipment will be provided and agree that my child will be responsible for wearing protective equipment and following safety rules as instructed. I understand that there may be minimum skill requirements for some activities, and if my child does not meet them, she will not be allowed to partcipate in that activity. I will not allow her to attend the event if she becomes exposed to any contagious disease or if for any reason I do not consider her in good physical condition. Medications will be administered by or in the presence of the responsible adult and only with written permission from a legal guardian or physician. Medications should be in the original container, carefully labeled with the girl's name and dosage and must be accompanied with written instruction from a legal guardian or physician. In case of accident or illness, I authorize a representative of GS-TOP to give consent to a physician and/or hospital for medical and/or surgical treatment. It is understood that every effort will be made to notify me before such action is taken. I understand that GS-TOP may use photographs or audio/video of my daughter in event activities for publicity. I understand the Council cannot be responsible for loss of valuables. If not a currently registered Girl Scout, I give permission for her to join.
Date:
Custodial Parent/Legal Guardian signature:
FEE INFORMATION
METHOD OF PAYMENT
Summer Extreme fee:
+ $
Payment must be included with registration or it is incomplete.
$12 membership fee (if not a member)
+ $
Check enclosed (made to GS-TOP) Charge my credit card
Cookie Bucks: _____ Boxes or $_____
- $
Credit Card type: (circle one) VISA
Sister-to-sister transfer: Sister's name:
CC #:
Troop #:
Cardholder’s name:
# of Boxes:
Out-of-council fee (if applicable)
+ $10
Total Due
$
Office Use Only:
Date
Camp: Fee:
Date: P/W:
MC
Discover
Amex
Exp. Date:
Cardholder’s signature:
Amt
Type
Balance
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Girl Scouts of Texas Oklahoma Plains, Inc.
SUMMER EXTREME ADULT/SIBLING REGISTRATION This form is to be used exclusively for Summer Extreme family events. This form my be copied as needed. Please print clearly and use blue or black ink. Fill out the entire form; incomplete forms will be returned and must be completed and resubmitted before a girl is placed. Attach this form to the Summer Extreme Girl Registration form and mail or take (with event fee) to your local Regional Office. Registrations will not be accepted by phone or email. A separate Adult/Sibling registration must be submitted for each person.
INFORMATION Registering a:
Boy Sibling Girl Sibling Adult
Birthdate:
First name:
Last name:
Address:
City:
Day Phone:
Evening Phone:
Sibling, grade in fall:
State:
Zip:
Email:
Emergency Contact:
Primary Contact #:
Address:
Secondary Contact #:
METHOD OF PAYMENT
Office Use Only:
Adult/Sibling Summer Extreme Fee: Receipt:
Date:
Placed:
Refunded:
Check enclosed payable to GS-TOP: Credit Card: (circle one) VISA MC
$
Discover
Credit Card number:
Amex Exp:
Cardholder’s name: Waiting List:
Cardholder’s signature:
Girl Scouts of Texas Oklahoma Plains, Inc.
SUMMER EXTREME ADULT/SIBLING REGISTRATION This form is to be used exclusively for Summer Extreme family events. This form my be copied as needed. Please print clearly and use blue or black ink. Fill out the entire form; incomplete forms will be returned and must be completed and resubmitted before a girl is placed. Attach this form to the Summer Extreme Girl Registration form and mail or take (with event fee) to your local Regional Office. Registrations will not be accepted by phone or email. A separate Adult/Sibling registration must be submitted for each person.
INFORMATION Registering a:
Boy Sibling Girl Sibling Adult
Birthdate:
First name:
Last name:
Address:
City:
Day Phone:
Evening Phone:
Sibling, grade in fall:
State:
Zip:
Email:
Emergency Contact:
Primary Contact #:
Address:
Secondary Contact #:
METHOD OF PAYMENT
Office Use Only:
Adult/Sibling Summer Extreme Fee: Receipt:
Date:
Placed:
Refunded:
Check enclosed payable to GS-TOP: Credit Card: (circle one) VISA MC Credit Card number: Cardholder’s name:
Waiting List:
Cardholder’s signature:
$
Discover
Amex Exp:
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Summer Extreme
Summer Extreme Events
Balloon Twisting - Beginners
Come learn about the types of balloons, pumps, and safety. Practice basic twisting techniques including inflation, tying, and locking twists with some basic essential creations! Note: Optional soft cover twisting book available at class for $5. Contact program provider (Melissa Lewis at 817-229-3555 or katherine.lewis@tccd.edu) at least one week in advance to reserve book. Grade: Junior, Cadette, Senior, Ambassador Fee: $20 Min/Max: 8/25 Date: Time: Place:
Saturday, June 4 6:00 – 8:00 p.m. Girl Scout Center, 4901 Briarhaven Road, Fort Worth, TX 76109
OR Date: Time: Place:
Friday, June 10 6:00 – 8:00 p.m. Arlington Human Services Building, 401 West Sanford Street, Arlington, TX 76011
Balloon Twisting - Intermediate
Girls will review and practice the basic techniques, plus adding the pinch twist. Class will cover intermediate level creations. Note: Students need to bring their pump from the Beginning class, or purchase their own. Optional soft cover twisting book available at class for $5. Contact program provider (Melissa Lewis at 817-229-3555 or katherine.lewis@tccd.edu) at least one week in advance to reserve book. Grade: Junior, Cadette, Senior, Ambassador Fee: $17 Min/Max: 8/25 Note: Balloon Twisting - Beginners is a prerequisite for this class. Students need to be comfortable inflating and tying balloons and have practiced on their own. Date: Time: Place:
Friday, June 17 6:00 – 8:00 p.m. Girl Scout Center, 4901 Briarhaven Road, Fort Worth, TX 76109
OR Date: Time: Place:
Friday, July 1 6:00 – 8:00 p.m. Arlington Human Services Building, 401 West Sanford Street, Arlington, TX 76011
Balloon Twisting - Advanced
Girls will review and practice the basic techniques, plus adding the pinch twist. Class will cover advanced level creations. Note: Students need to bring their pump from the Beginning class, or purchase their own. Optional soft cover twisting book available at class for $5. Contact program provider (Melissa Lewis at 817-229-3555 or katherine.lewis@tccd.edu) at least one week in advance to reserve book. Grade: Junior, Cadette, Senior, Ambassador Fee: $17 Min/Max: 8/25 Note: Balloon Twisting - Intermediate is a prerequisite for this class. Students need to be comfortable inflating and tying balloons and have practiced on their own. Date: Time: Place:
Friday, July 8 6:00 – 8:00 p.m. Girl Scout Center, 4901 Briarhaven Road, Fort Worth, TX 76109
OR Date: Time: Place:
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Friday, July 29 6:00 – 8:00 p.m. Arlington Human Services Building, 401 West Sanford Street, Arlington, TX 76011
Girls will learn about the disaster cycle, and what they can do to prepare, respond and recover from disasters in their community, at school, and at home. Place: American Red Cross - Fort Worth, 1515 South Sylvania Avenue, Fort Worth, TX 76111 Fee: $28 Min/Max: 6/20 Grade: Date: Time:
Daisy, Brownie Saturday, June 4 9:00 a.m. – 4:00 p.m.
OR Grade: Date: Time:
Daisy, Brownie Saturday, July 23 9:00 a.m. – 4:00 p.m.
OR Grade: Date: Time:
Junior, Cadette Saturday, June 4 9:00 a.m. – 4:00 p.m.
Summer Extreme Events
Master of Disaster
OR Grade: Date: Time:
Junior, Cadette Saturday, July 23 9:00 a.m. – 4:00 p.m.
My Family and Me: Fishing
Bring your favorite family members (at least one adult required, siblings are welcome), for a morning of family fishing! Whether you’re a novice or a pro, join us for some fun outdoors. Bring your own equipment or borrow some of ours (limited equipment available). Bait will be provided. Each girl attending must be accompanied by an adult. All adults must have a valid fishing license. Grade: All Ages Fee: $15 per person Min/Max: 10/50 Date: Time: Place:
Saturday, June 4 8:00 a.m. to noon Rough Creek Park, Lake Granbury, 193 Rough Creek Estate, Granbury, TX 76048
OR Date: Time: Place:
Saturday, June 18 8:00 a.m. to noon Bear Creek Park, 400 Bear Creek Parkway, Keller, TX 76248
Car Clinic
Driving around town, all girls need to know the basics. Come to the car clinic to participate in checking engine fluids (oil, transmission, power steering), witness an oil and filter change, check tire pressure with a tire gauge, participate in changing a tire, learn about ABS vs. traditional driving, and what are emergency car kit essentials. Have the opportunity to interview a mechanic as well! Grade: Senior, Ambassador Place: Pepboys, 6500 Lake Worth Boulevard, Lake Worth, TX 76135 Fee: $10 Min/Max: 4/12 Date: Time:
Thursday, June 9 6:00 – 7:30 p.m.
OR Date: Time:
Wednesday, June 22 10:30 a.m. to noon
OR
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Summer Extreme Events
Date: Time:
Thursday, July 14 6:00 – 7:30 p.m.
OR Date: Time:
Wednesday, July 27 10:30 a.m. to noon
Lampworking
Lampworking is the art of making glass beads in a flame. Learn the essentials of heating a glass rod and wrapping it around a mandrel to form a bead, along with forming basic shapes and shop safety. Grade: Cadette, Senior, Ambassador Date: Friday, June 10 Time: 6:30 – 8:30 p.m. Place: Brushstrokes Studio & Gallery, 4400 West Vickery Boulevard, Fort Worth, TX 76107 Fee: $30 Min/Max: 3/8
Child Safety Program
Girls will learn about strangers, boundaries, distancing, verbal commands and physical self defense, all while having fun! Grade: Daisy, Brownie, Junior Place: The Gym, 921 West Mayfield Road, Suite 112, Arlington, TX 76015 Fee: $15 Min/Max: 8/20 Date: Time:
Saturday, June 11 10:00 – 11:00 a.m.
OR Date: Time:
Saturday, July 9 10:00 a.m. – 11:00 a.m.
Discover Scuba
Dive into life and discover the exciting world of scuba! After orientation and getting to know the equipment, try out your new skills and go for a scuba dive in a pool. Note: Program Provider reserves the right to exclude you from participation for certain health conditions at the time of the event. Refer to confirmation letter for more details. A special parental permission form is required and will be included in the confirmation letter. Grade: Cadette, Senior, Ambassador Place: Arlington Scuba, 2414 West Park Row Drive, Arlington, TX 76013 Fee: $20 Min/Max: 5/10 Date: Time:
Saturday, June 11 1:00 – 4:00 p.m.
OR Date: Time:
Wednesday, June 22 6:00 – 9:00 p.m.
OR Date: Time:
Wednesday, July 6 6:00 – 9:00 p.m.
OR Date: Time:
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Saturday, July 30 1:00 – 4:00 p.m.
Learn the art of candle making and take home your own candle! Grade: Junior, Cadette, Senior, Ambassador, Adults Date: Saturday, June 11 Time: 9:30 a.m. – 2:30 p.m. Place: Girl Scout Center, 4901 Briarhaven Road, Fort Worth, TX 76109 Fee: $15 per person Min/Max: 10/20 Note: A male or female adult must accompany girl.
My Buddy and Me: Klay Kids
Basics don’t have to be boring. Boost your creativity learning the basics of clay handbuilding while making your very own clay project. Projects are left at the studio to be fired and can be picked up one week after event. Grade: Daisy, Brownie, Junior, Adults Date: Sunday, June 12 Time: 4:30 p.m. – 6:00 p.m. Place: Brushstrokes Studio & Gallery, 4400 West Vickery Boulevard, Fort Worth, TX 76107 Fee: $20 per person Min/Max: 8/20
My Buddy and Me: Graffiti Crew
Summer Extreme Events
My Buddy and Me: Candle Making
Join the Abatement Crew and paint over graffiti. Meet at Graffiti Abatement office – participants will be transported to various sites by Graffiti Abatement staff to work on projects. At the end of the day, participants will be returned to the Graffiti Abatement office. Bring a sack lunch and drink, and plenty of water! Grade: Junior, Cadette, Senior, Ambassador, Adults Date: Wednesday, June 15 Time: 8:00 a.m. – 2:30 p.m. Place: Graffiti Abatement Office, 920 Woodward Street, Fort Worth, TX 76107 Fee: $7 per person Min/Max: 4/12
My Space
This is a creative workshop that combines ceramic painting and clay techniques for girls to design and create something fun for their room. Girls will choose from pencil holders, vases, or trinket boxes to paint and will create, build, shape, design, and paint a dry erase board out of clay. Items will be ready to pick up at the studio two weeks after the event. Glazing and firing fee included. Grade: Brownie, Junior, Cadette, Senior, Ambassador Date: Thursday, June 16 Time: 6:00 – 8:00 p.m. Place: Sunshine Glaze Creative Studio, 405 North Carroll Avenue, Southlake, TX 76092 Fee: $30 Min/Max: 8/20
Pioneer Sampler
What was life like for children in the 1800s? Find out as you learn how to weave, spin wool, wash clothes, grind corn, and go to school like a frontier Texan! Fee includes a craft and a Log Cabin Village patch. Grade: Brownie, Junior Place: Log Cabin Village, 2100 Log Cabin Village Lane, Fort Worth, TX 76109 Fee: $15 Min/Max: 8/25 Date: Time:
Friday, June 17 9:00 a.m. to noon
OR Date: Time:
Friday, June 24 9:00 a.m. to noon
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Summer Extreme Events
Horse Fan
Complete parts of the Horse Fan badge requirements as you learn different riding styles, how to groom and care for a horse, how to saddle a horse, and learn horse safety. This event includes a brief arena ride, if time allows. A special parental permission form is required and will be included in the confirmation letter. Grade: Junior Place: Ride With Pride, 480 West Highland, Southlake, TX 76092 Fee: $25 Min/Max: 10/24 Date: Time:
Saturday, June 18 9:00 – 11:00 a.m.
OR Date: Time:
Saturday, July 30 9:00 – 11:00 a.m.
Wheel Throwing
Clay formed on a potter’s wheel is known as “throwing.” Participants will learn how to “center” their clay and open it to create the initial wall and base, along with experimenting with shapes. Projects are left at the studio to be fired and can be picked up one week after event. Grade: Cadette, Senior, Ambassador Date: Saturday, June 18 Time: 6:30 – 8:30 p.m. Place: Brushstrokes Studio & Gallery, 4400 West Vickery Boulevard, Fort Worth, TX 76107 Fee: $30 Min/Max: 3/6
Kayak Basics
Have fun while learning the basics of kayaking through games and exercises designed to develop skills. All equipment is provided. Grade: Junior, Cadette, Senior, Ambassador Place: Marine Creek Lake, 4801 Marine Creek Pkwy, Fort Worth, TX 76179 Fee: $40 Min/Max: 4/8 Note: Participants should be able to swim and feel comfortable around water. Date: Time:
Thursday, June 23 9:00 a.m. to noon
OR Date: Time:
Thursday, July 7 9:00 a.m. to noon
Kayak Techniques
Have fun maneuvering strokes and tricks to control your kayak. Develop the necessary skills to be comfortable and confident on the water by understanding and practicing water safety. All equipment will be provided. Grade: Junior, Cadette, Senior, Ambassador Fee: $40 Min/Max: 4/8 Note: Should be able to swim and have taken Kayak Basics or have equal kayaking experience. Date: Time: Place:
Thursday, June 23 1:00 – 3:00 p.m. Marine Creek Lake, 4801 Marine Creek Pkwy, Fort Worth, TX 76179
OR Date: Time: Place:
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Thursday, July 7 1:00 – 3:00 p.m. Pappy Elkins Lake, 3299 Elkins Drive, Dalworthington Gardens, TX 76016
Learn the knowledge and skills necessary to safely and responsibly give care for children and infants for any girl planning on babysitting. Girls will develop leadership skills, learn how to develop a babysitting business, keep themselves and others safe, help children behave, and learn about basic child care and basic first aid. Girls will receive their Babysitter's Certificate. Grade: Junior, Cadette, Senior, Ambassador Place: American Red Cross - Fort Worth, 1515 South Sylvania Avenue, Fort Worth, TX 76111 Fee: $55 Min/Max: 6/24 Note: Must be entering 6th grade at the time of event to participate. Date: Time:
Saturday, June 25 9:00 a.m. – 4:00 p.m.
OR Date: Time:
Saturday, July 16 9:00 a.m. – 4:00 p.m.
Glass Fusing
Learn the essentials of fusing and slumping glass to create a tile or plate that is also decorated with colored glass “frit.” Projects are left at the studio to be fired and can be picked up one week after the event. Grade: Junior, Cadette, Senior, Ambassador Date: Saturday, June 25 Time: 6:30 – 8:00 p.m. Place: Brushstrokes Studio & Gallery, 4400 West Vickery Boulevard, Fort Worth, TX 76107 Fee: $25 Min/Max: 3/15
Summer Extreme Events
Babysitter Training
My Buddy and Me: Badge of Honor
The National Cowgirl Museum and Hall of Fame is the only museum in the world dedicated to honoring women of the American West who have displayed extraordinary courage and pioneer spirit in their trailblazing efforts. Come see our rich history at the National Cowgirl Museum while working on a special National Cowgirl Museum patch. Grade: Daisy, Brownie Date: Saturday, June 25 Time: 10:00 a.m. to noon Place: National Cowgirl Museum and Hall of Fame, 1720 Gendy Street, Fort Worth, TX 76107 Fee: $12.50 per person Min/Max: 10/30 Note: An adult must accompany each registered girl.
Bead Dazzled
A course that is sure to catch your creative attention! Girls will enjoy making two pieces of jewelry for themselves or to give as a gift. Students will design and create their own bead bracelet and glass necklace. Girls will take home the bracelet the day of class; the glass pendant will be ready for pick up in two weeks after event. The glass firing fee for glass is included. Grade: Junior, Cadette, Senior, Ambassador Date: Sunday, June 26 Time: 3:00 – 4:30 p.m. Place: Sunshine Glaze Creative Studio, 405 N Carroll Avenue, Southlake, TX 76092 Fee: $30 Min/Max: 8/15
My Buddy and Me: Yoga
Have fun with yoga! Stretches, breathing, games, partner poses, and relaxation help the body and mind to strengthen and recharge. You will also learn some tools which you can use in everyday situations to feel better and stronger. As yoga is deeply rooted in non-violence and respect for others, as well as oneself, it will help you to remain cool, calm, and collected even in challenging situations, such as bullying. Come try it out! Grade: Daisy, Brownie, Junior, Cadette, Adults Place: Grapevine Yoga, 213 West Wall Street, Grapevine, TX 76051 Fee: $15 per person Min/Max: 8/12 Date: Time:
Sunday, June 26 2:00 – 3:30 p.m.
OR Date: Time:
Sunday, July 17 2:00 – 3:30 p.m.
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Summer Extreme Events
Graffiti = Art or Vandalism?
Learn about graffiti, how it differs from Art, and its impact on the community at large. Learn how graffiti can ruin future earning potential of the young individuals involved. Explore how to take action against graffiti. Grade: Junior, Cadette, Senior, Ambassador Date: Wednesday, June 29 Time: 10:00 – 11:00 a.m. Place: Girl Scout Center, 4901 Briarhaven Road, Fort Worth, TX 76109 Fee: $5 Min/Max: 5/50
My Buddy and Me: Body Mist
Learn how to make your own body mist. Take a moment to make your own personal fragrance, choose from a variety of fragrances to create two scents of your preference and take these refreshing creations home. Grade: Junior, Cadette, Senior, Ambassador, Adults Date: Saturday, July 9 Time: 9:30 a.m. – 2:30 p.m. Place: Girl Scout Center, 4901 Briarhaven Road, Fort Worth, TX 76109 Fee: $15 per person Min/Max: 10/20 Note: An adult must accompany each registered girl.
Flying High at Lockheed Martin
Want to live life in the fast lane? Be involved in an automated wing-design program to develop a new wing which will allow an F-16 fighter jet to perform a new mission. Lunch with women engineers and hear about their careers. See what it’s like to fly high-performance aircraft through a tour of the state-of-the-art flight simulation lab. Grade: Cadette, Senior, Ambassador Date: Wednesday, July 13 Time: 9:00 a.m. – 3:00 p.m. Place: Lockheed Martin Aeronautics, Lockheed Boulevard, Fort Worth, TX 76116 Fee: $15 Min/Max: 12/24 Note: Participatns must be at least ten years old and wear closed-toe shoes.
Power of One
See how the power of one person can be an agent of change! Explore a piece of history at the National Cowgirl Museum while completing the Power of One component to the Agent of Change Journey series. Girls will complete the requirements to earn the Power of One Journey patch, and may participate in other events to earn the remaining components to complete the full patch. When completed the patch can be purchased from the Girl Scout Shops. Grade: Junior Date: Saturday, July 16 Time: 10:00 a.m. to noon Place: National Cowgirl Museum and Hall of Fame, 1720 Gendy Street, Fort Worth, TX 76107 Fee: $15 Min/Max: 10/30
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Sunshine Glaze enjoys hosting family outings. We believe that conversation and creative expression is a healthy combination for parents and their children. We will host this workshop for female adults and girls to come and each pick a ceramic item to paint together. Any ceramic items priced up to $20 in the store can be chosen. Firing and glazing fee is included and items will be ready to pick up in the studio in one week after event. Grade: All Ages Date: Sunday, July 17 Time: 3:00 – 5:00 p.m. Place: Sunshine Glaze Creative Studio, 405 N Carroll Avenue, Southlake, TX 76092 Fee: $25 per person Min/Max: 8/24
My Buddy and Me: Me and My Shadow – Last chance to earn this retired badge!
Experiment together with light, dark, color and shadow in this hands-on playshop. You will paint with light, create shadow puppets and take a light and shadow walk through the museum grounds. Girls will earn the Me and My Shadow Try-It. Grade: Brownie, Adults Date: Thursday, July 21 Time: 10:00 a.m. to noon Place: Fort Worth Museum of Science and History, 1600 Gendy Street, Fort Worth, TX 76107 Fee: $15 Min/Max: 15/36 Note: Includes the Me and My Shadow Try-It.
Summer Extreme Events
My Buddy and Me: Ceramics
Fanciful Flights
Exploring and creating flying objects is the focus on this hands-on playshop. Super Loopers, balloon rockets and kites are just a few of the contraptions you will make. You will earn the Movers Try It. Grade: Brownie Date: Friday, July 22 Time: 10:00 a.m. to noon Place: Fort Worth Museum of Science and History, 1600 Gendy Street, Fort Worth, TX 76107 Fee: $17 Min/Max: 15/35 Note: Includes the Movers Try-It.
Get Moving-Junior Journey Playshop
Energy is inside us and all around us. During this playshop, you will learn about different types of energy, the energy in our places and spaces, and the energy of getting from here to there. You will complete some of the requirements for the Get Moving! Journey. Grade: Junior Date: Friday, July 22 Time: 1:30 – 4:00 p.m. Place: Fort Worth Museum of Science and History, 1600 Gendy Street, Fort Worth, TX 76107 Fee: $15 Min/Max: 15/36
Doggone that Training and First Aid!
Do you own a dog? Do you want to own a dog? Learn tips and techniques on how to train as well as first aid for your pet. Demonstration dogs will be on hand to show you how to work with your pet at home. Grade: Junior Date: Saturday, July 23 Time: 9:00 – 11:00 a.m. Place: PetsWest, 102 Bear Cat Road, Aledo, TX 76008 Fee: $15 Min/Max: 6/15
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Summer Extreme Events
Create-a-Fashion
This fashion forward class is for girls who like to create their own fashion. Each girl will enjoy designing and decorating their messenger bag with fabric, jewels, paint, and whatever they can imagine! We will also teach the students how to make their own wallet made of recycled products that will go great with their new messenger bag! Grade: Junior, Cadette, Senior, Ambassador Date: Tuesday, July 26 Time: 6:30 – 8:00 p.m. Place: Sunshine Glaze Creative Studio, 405 N Carroll Avenue, Southlake, TX 76092 Fee: $25 Min/Max: 8/15
My Buddy and Me: Get Moving-Junior Journey Playshop
Energy is inside us and all around us. During this playshop, you will learn about different types of energy, the energy in our places and spaces, and the energy of getting from here to there. You will complete some of the requirements for the Get Moving! Journey. Grade: Junior, Adults Date: Thursday, July 28 Time: 1:30 – 4:00 p.m. Place: Fort Worth Museum of Science and History, 1600 Gendy Street, Fort Worth, TX 76107 Fee: $20 per person Min/Max: 15/35 Note: One male or female adult must accompany each girl.
Science is Everywhere! – Last chance to earn this retired badge!
We know science is everywhere, but what better place than a science museum to discover, experiment, and create? We’ll investigate geologic forces of nature and animal habitats for an immersive playshop. Girls will earn the Science in Everyday Life badge. Grade: Junior Date: Thursday, July 28 Time: 10:00 a.m. to noon Place: Fort Worth Museum of Science and History, 1600 Gendy Street, Fort Worth, TX 76107 Fee: $15 Min/Max: 15/35 Note: Includes the Science in Everyday Life Junior badge.
Puzzles, Puzzles, Everywhere!
Love solving puzzles? Try your hand at some of the museum’s most interesting mathematics puzzles and make some of your own to take home and share with your family. Girls will earn the Puzzlers badge. Grade: Junior Date: Friday, July 29 Time: 10:00 a.m. to noon Place: Fort Worth Museum of Science and History, 1600 Gendy Street, Fort Worth, TX 76107 Fee: $15 Min/Max: 15/35 Note: Includes the Puzzlers Junior badge.
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Girl Scouts of Texas Oklahoma Plains, Inc.
Instructions for Completing the Financial Assistance Application All sections applicable to your request are required on the reverse side. This form may be completed by a parent/guardian, a Girl Scout volunteer (such as a troop leader, or service unit manager), or a council staff member. No refunds for programs already attended will be granted. The form can be mailed, e-mailed, or faxed to the regional office for the appropriate camp, along with $25 non-refundable deposit and the registration form, although in order for financial assistance information to remain confidential, mailing the application is preferred. Please note: 1. Financial assistance is based on financial need and the application should reflect that need. 2. Financial assistance is limited; however, the council makes every effort to provide enough support so that no Girl Scout in Texas Oklahoma Plains is denied participation due to lack of funds. If you have any questions, please call 817-737-7272 or 800-582-7272. Instructions: Please be sure to check the girl or adult box to ensure appropriate processing of application. Section I: This section is to be completed for all applications. In the instance of an adult applying for an adult learning opportunity there may be no troop number and those lines may be left blank. The grade level boxes can be checked for adult applicants, indicating the grade level of girls you volunteer with. The service unit name should be filled in. Juliette Girl Scout parents can use zeros for the troop number, write “Juliette” for troop leader and use the name of their nearest school if they do not know their Service Unit. Section II: Household income helps determine the need for financial assistance. Section III: This section is used when requesting uniform components and program materials. If request is granted, a voucher will be mailed to you to be used to obtain items from a council shop. Section IV: This section is used when requesting assistance to attend a council event. Assistance granted will be applied to the event fee. Amount granted will be included in the confirmation notice. Section V: This section is used when adults are requesting assistance to attend an adult learning opportunity offered by the council. Notification of assistance will be e-mailed or mailed within two weeks of receipt of application. National Membership Dues: To request assistance for these dues, use the form entitled “Request for Girl Scout National Membership Dues.” A gift to the Girl Scouts of Texas Oklahoma Plains Annual Campaign ensures financial assistance is available for every girl or adult who needs help to participate in Girl Scouting.
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Girl Scouts of Texas Oklahoma Plains, Inc.
Financial Assistance Application Do not use this form to request assistance for National Membership Dues. Please use blue or black ink pen. This form may be photocopied. To maintain confidentiality, put application in an envelope and mark it: Confidential; Attention: Financial Assistance, as instructed in “F”. NOTE In order to remove financial barriers to participation in Girl Scouts, limited funds are available to cover some expenses. Requests are reviewed on an individual basis. Financial assistance cannot be granted for troop activities. Troops are expected to budget for troop activities, outings, and other needs in their troop treasuries. This financial assistance request DOES NOT register the applicant for any event/learning opportunity. This request must be attached to the appropriate event/learning opportunity registration form. The council does not reimburse funds already spent. How to apply for financial assistance A. All CURRENTLY registered girl and adult members are eligible to receive financial assistance. B. A parent, troop leader or other adult may make a request. C. Use one application per recipient. D. Allow two weeks to process. E. Refer to the Financial Assistance Guidelines on the reverse side of this form for more information. F. Complete form and mail along with the Resident Camp Registration form and $25 non-refundable deposit to the Regional Office for the appropriate camp. I. Personal Information Applicant’s name: ______________________________________________ � Girl
or
� Adult
� Check if non-troop affiliated
� $25 ,000 - $35,000 � $35,000 – 45,000
Troop # _____________ Service Unit: _____________________
Address: ____________________________________________________ City: __________________________ State: ___________ Zip: __________ Grade Level: � Daisy � Senior
� Brownie
� Ambassador
� New Member
� Junior
II. Estimated Household Income � Under $15,000 � $15, 000 - $25, 000
� Cadette
� Adult-Position: ________________
� Returning Member Years in Girl Scouting:_______
� $45, 000 - $55, 000
� $55,000 or more
Number of individuals supported by this income: ______ Number of dependents living at home: ______ Has any financial assistance been granted this year? � No � Yes If yes, please state amount $ ___________________________
Participated in most recent council product sale: � Yes � No
Why is financial assistance needed? ___________________
Amount of Cookie Bucks earned: $ __________
__________________________________________________
Name of Person completing application: ________________________
__________________________________________________
Position: __________________ Address: _________________________ City: __________________________ State: __________ Zip: __________ Phone: _____________________ Email: __________________________ Requestor’s signature: ________________________ Date: __________
__________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________
III. Uniform Components, Insignia and Printed Materials Materials needed: ________________________________________________________ Total Cost: $_____________
Event Name: __________________________________
Event Date: _____________
Amount Requested: $ _______________________
For Resident or Day Camp – Camp Name:____________________________________ V. Adult Learning Opportunities Includes council-sponsored learning opportunities. Attach learning opportunities registration form. Course Name: ___________________________________ Course Fee: $___________
Date received:____/_____/______ Amount approved: $__________
IV. Program Fees for council-sponsored events, day camp, or resident camp. Assistance will be granted to cover a partial or full amount of the event fee. Attach event registration form.
Event Fee: $ ____________
FOR OFFICE USE ONLY
Course Date: __________
Amount Requested: $ ______________________
Date approved: ____/____/_____ Notes:
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4901 Briarhaven Rd, Fort Worth, TX 76109 817-737-7272 • 800-582-7272 www.gs-top.org
Girl Scouting builds girls of courage, confidence, and character who make the world a better place.
Non-Profit Organization U.S. Postage PAID Permit No. 2277 Fort Worth, TX