On-Line Camp Registration

Day Camp, Brownie Girl Scouts Resident Camps, Junior Girl Scout Resident Camps, Cadette/Senior Resident Camps, Esquestrial Programs

Header: Camp Registration Form
Full Name:Grade Fall:Age:Address:City:State:Zip Code:Parent/Guardian Name:Parent/Guardian with Legal custody:Home Phone:Work Phone:Pager or Cellular Phone:Member of Girl ScoutsJoining with this registrationNon-MemberLevel In Fall:Council Name:Full Name of Camp Buddy:Alternate Emergency Contact Name:Relationship:Alt Home Phone:Alt Work Phone:Alt Pager or Cell Phone:Primary Emergency Contact:Allowed to Pick up from Camp:Other Pick Up Full Name:Camps 3rd Choice:Camp Dates: When finished adding records, close form to return to main on-line Registration
page to provide payment information in Section IV.Camps 1st Choice:Camp Dates:Camps 2nd Choice:Camp Dates:One ProgramAll Programs Listed below (full deposit required for each)Bus Route 1st Choice:Bus Route 2nd Choice:Bus Route 3rd Choice:Route 1#:Route 2#:Route 3#:Pickup/Drop-off Site 1:Pickup/Drop-off Site 2:Pickup/Drop-off Site 3:Date(s)Route#Pickup/Drop-off SiteEthnic Background:My daughter will be riding the Bus.My daughter will NOT be riding the bus.Bus Transportation (check one)Please Note: This registration cannot be processed without signature of Parent/Guardian. Click here for Parent Permission FormRegistration Number:Current Troop Number: