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Name:
Volunteer Position:
Home Phone:
Cell Phone:
Email:
Address: Dietary restrictions: None Yes List: Note: We will make reasonable accommodations for dietary restrictions and allergies. If we cannot accommodate your needs, we will contact you regarding options.
Cluster: 1 2 3 4
I am a: Girl Scout Adult Girl Scout Ambassador Girl Scout Senior
I will be staying at camp: Friday night Saturday night Daytime(s) only Lodging Preference: Will bring my own tent Platform tent Quiet hours building Cardinal Lodge
Meals: Sat. Breakfast - $3 Sat. Lunch - $5 Sat. Supper - $7 Sun. Breakfast - $3 Many courses already include meals in course fee; see schedule pages.
Patches: $1.25 each Daisy Brownie Junior Cadette Senior/Ambassador First Aid CPR Teams Course Troop Pathway Orientation Camp In A Camp In B Camp Out
Payment Information Total course fees: ______ Total for patches: ______ Total for meals: ______ Event Fee: __5.00_ Grand Total Due: ______ If applying for financial aid, attach RS 526 to this form.
Adult Education courses are open to all registered adults. Senior and Ambassador girls who are working on V.I.T. may register for appropriate courses
TO REGISTER: Please check the courses you want to take. If a course has a patch and you want to buy one, check above. Write total amounts for all course fees, patch orders, and purchased meals in the "payment information" box above. Send payment to address indicated below. FRIDAY (Registration begins at 5:30 p.m.) 5:30 – 6:30
Registration
5:30 – 6:30
6:30 – 8:00 8:00 – 9:00 9:30-10:30
Mini Topics-Uniforms, Swaps, GS Forms, Games for Girls Troop Finances/Money Earning Campfire Program
Troop Pathway Orientation (6:30 - 8:30)
Bring on the Bronze (7:00 – 9:00)
7:00 – 9:00 9:30-10:30
SATURDAY 7:00 –9:00 7:30- 8:00 8:00 – 10:00
10:00 - 11:00 11:00-12:30 12:30-2:30
2:30 - 3:30
Registration Breakfast Leave No Trace Planning a Troop Camping Trip D-B-J
LUNCH Basic Compass Skills Stop the Giggles, Not the Wiggles Letterboxing
3:30 – 5:00
5:00 – 6:30 6:30 - 7:00 7:00 – 9:00
GS Daisy Grade Level GS Brownie Grade Level GS Sr/Am Grade Level Teams Course - $10.00 (ends at 11)
Inexpensive Crafts - $8.00 GS Ceremonies Camp in A - $2 First Aid* - $25/$35 (ends at 11:00)
GS Junior Grade Level GS Cadette Grade Level (ends at 3:30)
Troop Trips 5W’s CPR* $25/$35 (ends at 3:30)
Working with Journeys Take Action Projects GS Promise and Law - $2.00
Geocaching Using GPS Girl Scout Games and Songs (end at 5:00)
Camp in B (early dinner included) $6 (ends at 5:00)
Archery Cert – fee to be determined LUNCH Archery continued (ends at 3:30)
Supper Investiture of New Volunteers Leaders Cafe Council Governance Nite Hike
8:00 – 10:00
Outdoor Cooking (includes lunch) - $7 (ends at 2)
10:00 – 11:00 11:00 – 12:30 12:30 – 2:30
Outdoor Update (dinner included) $8
2:30 – 3:30 3:30 – 5:00
5:00 – 6:30 6:30 – 7:00 7:00 - 9:00
* If you take both CPR and First Aid, total cost is $35. Individual courses are $25 each. (Pricing is based on American Red Cross fees.) SUNDAY 7:30 – 8:00 8:00 – 8:15 8:15 - 9:00 9:00 – 12:00
Breakfast Scouts Own Set Up Crafts/Walk to Meadows Arts and Crafts Fest - $10.00 Archery for Fun
12:00 – 5:00
For Office Use ONLY.
Camp In A & B (includes lunch) $8.00 (Ends at 4:30 pm)
Camp Out (includes lunch) - $10.00 (Ends at 5:00 pm)
Date Registration & Payment Received: ________________________________
Check/money enclosed Check # _________ Total Amount Enclosed: $___________ Receipt #: ___________ Financial Aid Requested Confirmation notice date: __________ Refund date/amount: __________
8:00 - 8:15 8:30 - 9:00 9:00 – 12:00 12:00 - 5:00
Mail Completed Form(s) & Payment to: Rachel Ray Girl Scouts of Kentuckiana 2115 Lexington Road Louisville, KY 40206