Summer camp - Girl Scouts in the Heart of Pennsylvania
Summer camp - Girl Scouts in the Heart of Pennsylvania
Summer camp - Girl Scouts in the Heart of Pennsylvania
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SUMMER<br />
CAMP 2 0<br />
13<br />
GUIDE
<strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong><br />
Nor<strong>the</strong>ast Region North Region West Region South Central Region South Region<br />
Area Service Center Area Service Center – Corporate Headquarters Camp Small Valley
Dear Camper,<br />
TABLE OF CONTENTS<br />
We hope you will jo<strong>in</strong> us for an excit<strong>in</strong>g year at <strong>Girl</strong> Scout Camp! This year, Camp Small Valley <strong>in</strong> Halifax,<br />
PA will be your dest<strong>in</strong>ation station. We have excit<strong>in</strong>g new programs, a new state <strong>of</strong> <strong>the</strong> art Adventure<br />
Course with ropes courses, a climb<strong>in</strong>g wall and zip l<strong>in</strong>e, as well as a new archery range and barn!<br />
Ever hear <strong>of</strong> Ga-ga? Not <strong>the</strong> s<strong>in</strong>ger – <strong>the</strong> game! Th<strong>in</strong>k you can dodge <strong>the</strong> ball? Test out your skills <strong>in</strong><br />
our new Ga-ga pit! There is so much to do at <strong>camp</strong> this summer, you might have trouble fitt<strong>in</strong>g it all <strong>in</strong>!<br />
Hopefully you are as excited as we are. We have programs for everyone and you still get to choose<br />
what you want to do at <strong>camp</strong>. Get ready for fun and adventure at Camp Small Valley. See you soon!<br />
Dear Parent,<br />
We are thrilled to have your daughter come to <strong>Girl</strong> Scout Camp. As we cont<strong>in</strong>ue to enhance our outdoor<br />
programs and facilities, we are only able to <strong>of</strong>fer a premier <strong>camp</strong><strong>in</strong>g experience at Camp Small Valley<br />
<strong>in</strong> 2013. The d<strong>in</strong><strong>in</strong>g hall at Camp Archbald is almost done, but we can’t guarantee it will be ready. But<br />
don’t worry, Camp Archbald will be up and runn<strong>in</strong>g <strong>in</strong> 2014!<br />
This year, girls will have <strong>the</strong> optimal <strong>camp</strong> experience, no matter what activities <strong>the</strong>y choose. Our new<br />
state <strong>of</strong> <strong>the</strong> art Adventure Course <strong>in</strong>cludes low and high ropes courses, a climb<strong>in</strong>g wall and a zip l<strong>in</strong>e!<br />
The old favorites are back like swimm<strong>in</strong>g, horseback rid<strong>in</strong>g, arts and crafts and sports. Plus <strong>the</strong> new<br />
archery range is f<strong>in</strong>ished and ready for target practice!<br />
Camp is <strong>the</strong> perfect opportunity for your daughter to become <strong>in</strong>dependent while develop<strong>in</strong>g courage,<br />
confidence and character.<br />
If she’s not already a <strong>Girl</strong> Scout, that’s OK! When she signs up for <strong>camp</strong>, she<br />
will automatically become a member. Many <strong>in</strong>dividual girls attend <strong>camp</strong> every<br />
summer. If your <strong>camp</strong>er would like to sign up with a troop later <strong>in</strong> <strong>the</strong> fall, we will<br />
do our best to help f<strong>in</strong>d one that suits her schedule.<br />
Please refer to <strong>the</strong> FAQs (pages 37-40) for fur<strong>the</strong>r <strong>in</strong>sight about <strong>the</strong> outdoor<br />
experience and procedures for register<strong>in</strong>g your daughter for <strong>camp</strong>. As always,<br />
we’re here to help. If you have any questions, please call 1.800.692.7816 or<br />
email <strong>camp</strong>@gshpa.org.<br />
F<strong>in</strong>d more onl<strong>in</strong>e!<br />
www.gshpa.org<br />
Important Dates..........................4<br />
Camp Small Valley......................5<br />
Adventure Course....................6-7<br />
General Information....................8<br />
Traditional Camp.........................9<br />
Ranch Camp........................10-11<br />
Trad<strong>in</strong>g Post Packages.............12<br />
Camp Fees ..............................13<br />
Adventure Bound......................14<br />
Sleep Away Camp<br />
Registration Forms.........15-16<br />
Campership Form................17-18<br />
Adventure Bound Form.......19-20<br />
CIT I Program Information........21<br />
CIT II Program Information.......22<br />
CIT Forms...........................23-25<br />
Troop Adventure Camp.......27-28<br />
TAC Forms..........................29-30<br />
TAC & Day Camp F<strong>in</strong>ancial<br />
Assistance Form............31-32<br />
Family Camp<strong>in</strong>g........................33<br />
Family Camp<strong>in</strong>g Form..............35<br />
Frequently Asked<br />
Questions ......................37-40<br />
<strong>Girl</strong> Membership Form..............42<br />
Friend us. Follow us. Like us.<br />
S<strong>in</strong>cerely,<br />
The <strong>Summer</strong> Camp Team<br />
www.facebook.com/GSHPA<br />
www.youtube.com/<br />
user/gshpa<br />
Contact Information<br />
<strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong> | 350 Hale Avenue | Harrisburg, PA 17104 | <strong>camp</strong>@gshpa.org
IMPORTANT DATES<br />
January 1 — Registration opens<br />
GSHPA NEWS & DATES<br />
March 1 — Early bird expires<br />
Camp Information<br />
Nights 7–8 p.m.<br />
March 11 — Olyphant Area<br />
Service Center<br />
March 13 — Harrisburg Area<br />
Service Center<br />
EXCITING NEWS | As we cont<strong>in</strong>ue to enhance our <strong>camp</strong> properties, <strong>the</strong><br />
d<strong>in</strong><strong>in</strong>g hall at Camp Archbald will be our biggest improvement. While we are<br />
work<strong>in</strong>g hard to make sure this d<strong>in</strong><strong>in</strong>g hall is <strong>the</strong> best fit and <strong>in</strong>corporat<strong>in</strong>g<br />
historical pieces from our previous d<strong>in</strong><strong>in</strong>g hall, Camp Archbald will be up<br />
and runn<strong>in</strong>g for summer <strong>camp</strong> <strong>in</strong> 2014.<br />
March 19 — Montoursville Area<br />
Service Center<br />
March 21 — York Area Service<br />
Center<br />
March 25 — Harrisburg Area<br />
Service Center<br />
March 27 — State College Area<br />
Service Center<br />
April 1 — Camp Small Valley,<br />
Halifax<br />
Camp Open House<br />
12–4 p.m.<br />
April 27 — Camp Small Valley,<br />
Halifax<br />
GIRL SCOUT PROMISE<br />
On my honor, I will try:<br />
To serve God and my country,<br />
To help people at all times,<br />
And to live by <strong>the</strong> <strong>Girl</strong> Scout Law.<br />
GIRL SCOUT MISSION<br />
To build girls <strong>of</strong> courage, confidence,<br />
and character, who make <strong>the</strong> world<br />
a better place.<br />
GIRL SCOUT LAW<br />
I will do my best to be<br />
honest and fair,<br />
friendly and helpful,<br />
considerate and car<strong>in</strong>g,<br />
courageous and strong, and<br />
responsible for what I say and do,<br />
and to<br />
respect myself and o<strong>the</strong>rs,<br />
respect authority,<br />
use resources wisely,<br />
make <strong>the</strong> world a better place, and<br />
be a sister to every <strong>Girl</strong> Scout.<br />
4
CAMP SMALL VALLEY<br />
Camp Small Valley is located <strong>in</strong> upper Dauph<strong>in</strong> County. Nearly 800 acres are available for girls to hike,<br />
horseback ride, geocache or shoot archery. With a state <strong>of</strong> <strong>the</strong> art science center, girls can perform science<br />
experiments or sign up for an astronomy program <strong>in</strong> our planetarium. There is also a new state <strong>of</strong> <strong>the</strong><br />
art Adventure Course that <strong>in</strong>cludes low and high ropes courses, a climb<strong>in</strong>g wall and a zip l<strong>in</strong>e!<br />
We have someth<strong>in</strong>g for everyone from dance, <strong>the</strong>ater and sports, to arts and crafts, pottery and swimm<strong>in</strong>g<br />
that <strong>in</strong>cludes a bubble beach!<br />
Save <strong>the</strong> Date<br />
<strong>Summer</strong> Sleep Away<br />
Camp Weeks<br />
June 16 – 21<br />
June 23 – 28<br />
June 30 – July 3 (M<strong>in</strong>i-<strong>camp</strong>)<br />
July 7 – July 12<br />
July 14 – 19<br />
July 21 – 26<br />
July 28 – August 2<br />
August 4 – 9<br />
August 11 – 16<br />
5
High Ropes Course | This is a seven<br />
element course start<strong>in</strong>g near <strong>the</strong> ground and end<strong>in</strong>g<br />
at a zip l<strong>in</strong>e, 50 feet high! Participants traverse<br />
ropes to get to different platforms and hop across<br />
float<strong>in</strong>g wooden islands suspended between<br />
trees. Climbers must <strong>the</strong>n tackle a horizontal ladder<br />
to a bridge. The f<strong>in</strong>al element is a 475 foot zip<br />
l<strong>in</strong>e ride back to <strong>the</strong> ground!<br />
Climb<strong>in</strong>g Tower | The climb<strong>in</strong>g tower has multiple walls<br />
that can accommodate beg<strong>in</strong>ners and advanced climbers. Participants<br />
are connected by a harness to a rope which is attached to<br />
ei<strong>the</strong>r a belayer or a team belay.<br />
Low Ropes | Us<strong>in</strong>g cables and ropes, wood platforms, posts<br />
or beams strung among trees or poles, teams will explore risk<br />
tak<strong>in</strong>g, leadership and communication. Participants can walk tightropes,<br />
negotiate obstacles, climb walls and navigate through various<br />
“spider” webs to reach <strong>the</strong> end <strong>of</strong> <strong>the</strong> course.<br />
6
ADVENTURE<br />
COURSE<br />
Giant Sw<strong>in</strong>g | This activity requires group participation.<br />
The participant wears a harness and climbs a ladder to get connected<br />
to equipment. Once <strong>the</strong> participant is hang<strong>in</strong>g approximately<br />
10 feet <strong>of</strong>f <strong>of</strong> <strong>the</strong> ground, <strong>the</strong> team or rema<strong>in</strong>der <strong>of</strong> <strong>the</strong><br />
group will be <strong>in</strong>structed to grab <strong>the</strong> tow l<strong>in</strong>e and beg<strong>in</strong> to pull it.<br />
The fur<strong>the</strong>r <strong>the</strong> team pulls <strong>the</strong> higher <strong>the</strong> participant goes.<br />
Leap <strong>of</strong> Faith | The Leap <strong>of</strong> Faith participant climbs staples (pegs)<br />
to reach a platform situated approximately 50 feet <strong>in</strong> <strong>the</strong> air that is attached<br />
to a tree. There are two team belays that connect to <strong>the</strong> participant. The<br />
team belays will need <strong>the</strong> rema<strong>in</strong>der <strong>of</strong> <strong>the</strong> team to help with this activity.<br />
The participant will jump <strong>of</strong>f <strong>the</strong> platform and try to reach <strong>the</strong> rope.<br />
7
GENERAL INFORMATION<br />
FINANCIAL<br />
ASSISTANCE<br />
IS AVAILABLE<br />
SEE PAGE 13.<br />
MEALS<br />
At <strong>camp</strong>, meals are prepared by our pr<strong>of</strong>essional<br />
food service crew and served <strong>in</strong> our d<strong>in</strong><strong>in</strong>g hall. All<br />
meals provide a variety <strong>of</strong> food that is both healthy<br />
and kid friendly. A fresh salad bar is always <strong>of</strong>fered<br />
dur<strong>in</strong>g <strong>the</strong>se serviced meals. Campers have a unit<br />
breakfast, d<strong>in</strong>ner and a unit pack out lunch at least<br />
once dur<strong>in</strong>g <strong>the</strong> week. Vegetarian and kosher diets<br />
can be accommodated. O<strong>the</strong>r dietary restrictions<br />
may also be accommodated; however parents may<br />
need to supplement acceptable foods for our staff<br />
to prepare. Please make sure to <strong>in</strong>clude dietary<br />
restrictions on <strong>the</strong> registration form.<br />
ABOUT CAMP<br />
<strong>Girl</strong>s will choose <strong>the</strong>ir own adventures for <strong>the</strong> week. They have <strong>the</strong> ability<br />
to plan <strong>the</strong>ir own <strong>camp</strong> and assist <strong>in</strong> <strong>the</strong> cookouts that occur throughout <strong>the</strong><br />
week. Every day, <strong>the</strong>re will be an opportunity to choose new activities <strong>in</strong> addition<br />
to <strong>the</strong> ones <strong>the</strong>y have already signed up for.<br />
A girl may come to <strong>camp</strong> with a buddy but it is up to each <strong>in</strong>dividual girl to<br />
choose her activities. If her buddy should want to participate <strong>in</strong> a different activity,<br />
<strong>the</strong>y may not be toge<strong>the</strong>r <strong>the</strong> entire time.<br />
SLEEPING UNITS<br />
Liv<strong>in</strong>g arrangements are assigned by our <strong>camp</strong> director and are determ<strong>in</strong>ed<br />
approximately one week before <strong>the</strong> start <strong>of</strong> that <strong>camp</strong> session. <strong>Girl</strong>s may stay<br />
<strong>in</strong> tents, cab<strong>in</strong>s or lodges. The girls are grouped accord<strong>in</strong>g to <strong>the</strong>ir ages. A girl<br />
may request a buddy and be placed <strong>in</strong> <strong>the</strong> same unit. <strong>Girl</strong>s may only request<br />
one buddy. In return, <strong>the</strong> buddy must also request <strong>the</strong>m as <strong>the</strong> unit mate or <strong>the</strong><br />
request may not be honored. Buddies must be <strong>in</strong> <strong>the</strong> same grade level and<br />
both must be <strong>in</strong> <strong>the</strong> same program such as Traditional or Ranch Camp.<br />
RESTROOMS<br />
Small Valley has mostly flush<strong>in</strong>g toilets with s<strong>in</strong>ks; however a few units do have<br />
latr<strong>in</strong>es. The latr<strong>in</strong>es have a hand wash<strong>in</strong>g station nearby. <strong>Girl</strong>s will schedule<br />
<strong>the</strong>ir times to shower every day and showers are typically taken at <strong>the</strong> pool<br />
house.<br />
8
TRADITIONAL CAMP<br />
Traditional Camp is for girls <strong>in</strong> grades two through ten. Traditional <strong>camp</strong>ers custom design <strong>the</strong>ir own activities<br />
for <strong>the</strong> week. Campers may participate <strong>in</strong> swimm<strong>in</strong>g, archery, arts and crafts, <strong>the</strong> climb<strong>in</strong>g tower,<br />
ropes courses, sports and more!<br />
HOW IT WORKS<br />
Once a <strong>camp</strong>er is registered, a confirmation<br />
packet will be sent that has <strong>the</strong> necessary <strong>in</strong>formation<br />
and forms to prepare for this great adventure.<br />
One form will provide a list <strong>of</strong> activities from which<br />
<strong>the</strong> <strong>camp</strong>er can choose. Some activities are based<br />
on badges she may want to earn. Review <strong>the</strong><br />
BADGES AND<br />
PATCHES<br />
When <strong>the</strong> confirmation<br />
packet is received<br />
<strong>the</strong>re will also be a<br />
sheet <strong>of</strong>fer<strong>in</strong>g core<br />
activities that work<br />
toward badges. Each<br />
<strong>camp</strong>er will pick <strong>the</strong>ir<br />
top three from <strong>the</strong> list<br />
and will earn one <strong>of</strong><br />
those badges as well<br />
as a fun patch.<br />
TRAIL RIDES<br />
For an additional fee, you can sign<br />
your <strong>camp</strong>er up to participate <strong>in</strong> one<br />
horseback rid<strong>in</strong>g lesson per week<br />
<strong>of</strong> <strong>camp</strong>. We will fit her with a horse<br />
that is suited to her level <strong>of</strong> rid<strong>in</strong>g<br />
experience. She will ride <strong>in</strong> our<br />
rid<strong>in</strong>g r<strong>in</strong>g to get comfortable <strong>in</strong> <strong>the</strong><br />
saddle and learn about equ<strong>in</strong>e safety<br />
and rid<strong>in</strong>g techniques. Thereafter,<br />
she will head out onto <strong>the</strong> trail.<br />
Note: Trail rid<strong>in</strong>g is wea<strong>the</strong>r dependent but<br />
actual lessons will still take place ra<strong>in</strong> or<br />
sh<strong>in</strong>e. No refunds.<br />
programs and decide with her what badge(s) she<br />
would like to achieve.<br />
In addition to <strong>the</strong> activities she has chosen, she<br />
will also receive a swimm<strong>in</strong>g time and will choose<br />
daily electives. Elective classes are a great way to<br />
try someth<strong>in</strong>g out but perhaps not participate <strong>in</strong> it<br />
<strong>the</strong> entire week.<br />
TRIPS<br />
While <strong>camp</strong>ers will choose <strong>the</strong>ir<br />
ma<strong>in</strong> activities and try a little bit<br />
<strong>of</strong> everyth<strong>in</strong>g, <strong>the</strong>y will also have<br />
an option to go on a half or full<br />
day <strong>camp</strong> trip for no additional<br />
fee. Trips vary by age, space and<br />
<strong>in</strong>terest. If <strong>the</strong>re is not enough<br />
<strong>in</strong>terest or <strong>in</strong>clement wea<strong>the</strong>r,<br />
trips may be cancelled and girls<br />
will cont<strong>in</strong>ue on with <strong>the</strong>ir orig<strong>in</strong>al<br />
schedule. Trips may <strong>in</strong>clude hik<strong>in</strong>g<br />
or geocach<strong>in</strong>g at a nearby state<br />
park or on <strong>the</strong> Appalachian Trail.<br />
SCHEDULE<br />
AT A GLANCE<br />
7:45 a.m. Flag<br />
8:00 a.m. Breakfast<br />
8:45 a.m. Cab<strong>in</strong> Kapers/Inspection<br />
9:30 a.m. Activity 1<br />
10:30 a.m. Activity 2<br />
11:30 a.m. Elective<br />
12:30 p.m. Lunch<br />
1:00 p.m. Mail Call<br />
1:15 p.m. Rest Hour<br />
2:30 p.m. Activity 3<br />
3:30 p.m. Activity 4<br />
4:30 p.m. Elective<br />
5:30p.m. Flag<br />
5:45 p.m. D<strong>in</strong>ner<br />
6:30 p.m. Cab<strong>in</strong> Time<br />
7:30 p.m. Even<strong>in</strong>g Activity<br />
9:00 p.m. Quiet Time<br />
9
At Ranch Camp, girls <strong>in</strong> grades six<br />
through ten will develop a relationship<br />
with <strong>the</strong> horse that is assigned to her.*<br />
We <strong>of</strong>fer both English and Western<br />
styles <strong>of</strong> rid<strong>in</strong>g. Ranch <strong>camp</strong>ers learn<br />
<strong>the</strong> basic styles <strong>of</strong> horsemanship depend<strong>in</strong>g<br />
on what style is chosen.<br />
HOW IT WORKS<br />
There will be opportunities to advance<br />
skill levels and keep th<strong>in</strong>gs challeng<strong>in</strong>g.<br />
Our experienced staff will keep your child<br />
safe, teach her to expand her knowledge<br />
and cont<strong>in</strong>ually challenge her to advance<br />
to <strong>the</strong> next level. Ranch <strong>camp</strong>ers will still<br />
participate <strong>in</strong> swim time, even<strong>in</strong>g activities<br />
and choose an elective each day.<br />
Western Rid<strong>in</strong>g: June 16–July 19<br />
English Rid<strong>in</strong>g: July 21–August 16<br />
RECOGNITIONS<br />
Our badge and bandana program is a way to receive recognition. Each girl attend<strong>in</strong>g Ranch Camp<br />
will earn a horse patch at <strong>the</strong> end <strong>of</strong> her first week as well as a colored bandana.<br />
When <strong>camp</strong>ers want to advance <strong>the</strong>ir skills and earn <strong>the</strong> next level bandana and patch rocker, <strong>the</strong>y<br />
must pass <strong>the</strong> written test as well as <strong>the</strong> rid<strong>in</strong>g test. At <strong>the</strong> end <strong>of</strong> <strong>the</strong> week, girls can showcase <strong>the</strong>ir<br />
abilities at <strong>the</strong> horse show, where parents/guardians are <strong>in</strong>vited to watch <strong>the</strong>ir <strong>camp</strong>ers demonstrate<br />
<strong>the</strong>ir newly formed skills. The show will beg<strong>in</strong> around 3:30 p.m. on Friday.<br />
*Due to liability on behalf <strong>of</strong> <strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong>, it is a requirement that all girls start at <strong>the</strong> beg<strong>in</strong>ner level <strong>of</strong> rid<strong>in</strong>g and basic horsemanship.<br />
10
NEW BARN<br />
COMING<br />
THIS YEAR!<br />
SCHEDULE AT A GLANCE<br />
6:30 a.m. Early Morn<strong>in</strong>g Feed<strong>in</strong>g<br />
7:45 a.m. Flag<br />
8:00 a.m. Breakfast<br />
8:45 a.m. Cab<strong>in</strong> Kapers/Inspection<br />
9:30 a.m. Groom<strong>in</strong>g & Prepp<strong>in</strong>g Horses<br />
10:30 a.m. R<strong>in</strong>g Work<br />
11:30 a.m. Elective<br />
12:30 p.m. Lunch<br />
1:00 p.m. Mail Call<br />
1:15 p.m. Rest Hour<br />
2:30 p.m. Ground Lesson<br />
3:30 p.m. Trail/R<strong>in</strong>g Lesson<br />
4:30 p.m. Swimm<strong>in</strong>g<br />
5:30 p.m. D<strong>in</strong>ner<br />
6:30 p.m. Night Feed<strong>in</strong>g<br />
7:30 p.m. Even<strong>in</strong>g Activity<br />
9:00 p.m. Quiet Time<br />
9:30 p.m. Lights Out<br />
ENGLISH VS. WESTERN<br />
RIDING STYLE<br />
The Western rid<strong>in</strong>g style evolved accord<strong>in</strong>g to <strong>the</strong><br />
needs <strong>of</strong> American cowboys. The Western saddle<br />
helps distribute weight more evenly over <strong>the</strong><br />
horse’s back. The seat is comfortable for long hours<br />
over rough terra<strong>in</strong> and has stirrups for a rider’s feet.<br />
There is also a horn on <strong>the</strong> saddle (cowboys used it<br />
for hold<strong>in</strong>g a rope).<br />
English rid<strong>in</strong>g takes most <strong>of</strong> its traditions and equipment<br />
from European mounted military styles. It<br />
RANCH<br />
CAMP<br />
is also <strong>the</strong> primary style adopted for hunt<strong>in</strong>g and<br />
jump<strong>in</strong>g competitions and shows. The saddle does<br />
not have a horn and has a smaller seat than <strong>the</strong><br />
Western saddle.<br />
Western riders will learn how to hold <strong>the</strong> re<strong>in</strong>s with<br />
one hand while sitt<strong>in</strong>g <strong>the</strong> trot with <strong>the</strong>ir horse (rema<strong>in</strong><strong>in</strong>g<br />
seated <strong>in</strong> <strong>the</strong> saddle, follow<strong>in</strong>g <strong>the</strong> motion<br />
<strong>of</strong> <strong>the</strong> horse without bounc<strong>in</strong>g). The English style<br />
requires riders to use both hands to hold <strong>the</strong> re<strong>in</strong>s<br />
while post<strong>in</strong>g <strong>the</strong> trot (ris<strong>in</strong>g and sitt<strong>in</strong>g <strong>in</strong> rhythm<br />
with each stride <strong>of</strong> <strong>the</strong> horse).<br />
Western rid<strong>in</strong>g is recommended for beg<strong>in</strong>ners and<br />
English rid<strong>in</strong>g is recommended for more experienced<br />
riders.<br />
11
TRADING POST<br />
$10, $25, $50 and $75 amounts<br />
Packages must be purchased two weeks prior to<br />
your <strong>camp</strong>er’s arrival.<br />
Parents can purchase Trad<strong>in</strong>g Post Packages so<br />
girls don’t have to fumble with money for <strong>camp</strong><br />
souvenirs. <strong>Girl</strong>s can get as much as <strong>the</strong>y want,<br />
up to <strong>the</strong> dollar amount <strong>of</strong> <strong>the</strong> package selected.<br />
Packages are non-refundable and any rema<strong>in</strong><strong>in</strong>g<br />
balance on <strong>the</strong> package will NOT be refunded. The<br />
trad<strong>in</strong>g post will be open dur<strong>in</strong>g check-<strong>in</strong>, throughout<br />
<strong>the</strong> week as an elective and dur<strong>in</strong>g check-out.<br />
Please note, we can no longer accept cash or<br />
checks at <strong>the</strong> Trad<strong>in</strong>g Post.<br />
Earn Money to Spend Toward Camp!<br />
Did you know, GSHPA Product Sales Dough can be applied<br />
directly to <strong>the</strong> cost <strong>of</strong> Sleep Away Camp? If your <strong>camp</strong>er<br />
chooses Product Sales Dough* as a reward and sells:<br />
80+ packages <strong>of</strong> cookies = $5<br />
175+ packages <strong>of</strong> cookies = $10<br />
400+ packages <strong>of</strong> cookies = $15<br />
750+ packages <strong>of</strong> cookies = $25<br />
1,500+ packages <strong>of</strong> cookies = One (1) free week<br />
at Traditional Camp<br />
TRADING POST<br />
PRICES<br />
Under $2.00<br />
• Wishlets<br />
• Pencils<br />
• Pens<br />
$3.00 – $5.00<br />
• GSHPA Headbands<br />
• Bracelets<br />
• Water Bottles<br />
• Bandanas<br />
$5.00 – $10.00<br />
• Keycha<strong>in</strong>s<br />
• Zipper-pulls<br />
• Medium-sized Plush Toys<br />
• Bunk-buddy Magnets<br />
• Notebook Journals<br />
• Visors<br />
$11.00 – $15.00<br />
• T-shirts<br />
• Camp Pillows<br />
• Autograph Animals<br />
$16.00 –$20.00<br />
• Larger-sized Plush Toys<br />
Please note that this not a complete<br />
list<strong>in</strong>g and item selection and/or<br />
pric<strong>in</strong>g may vary due to availability.<br />
12<br />
* Please log onto www.gshpa.org for more detailed FAQs<br />
about <strong>the</strong> use <strong>of</strong> Product Sales Dough.
CAMP FEES &<br />
REGISTRATION<br />
GSHPA <strong>of</strong>fers reasonable <strong>camp</strong> fees<br />
that only cover a percentage <strong>of</strong> <strong>the</strong><br />
direct per person cost <strong>of</strong> summer <strong>camp</strong>.<br />
We <strong>of</strong>fer a variety <strong>of</strong> ways for <strong>camp</strong> to<br />
be affordable for everyone <strong>in</strong>clud<strong>in</strong>g<br />
early registration discounts, bundl<strong>in</strong>g<br />
packages for those <strong>in</strong>terested <strong>in</strong> attend<strong>in</strong>g<br />
more than one week and f<strong>in</strong>ancial<br />
assistance for those who qualify.<br />
BUNDLED PACKAGE<br />
Sign up for two or more traditional <strong>camp</strong><br />
weeks and receive $25 <strong>of</strong>f each week.<br />
These must be purchased toge<strong>the</strong>r and<br />
not paid for <strong>in</strong>dividually. This discount<br />
cannot be comb<strong>in</strong>ed with <strong>the</strong> early bird<br />
special.<br />
FINANCIAL ASSISTANCE<br />
F<strong>in</strong>ancial assistance (<strong>camp</strong>erships) is<br />
available for girls registered with GSHPA<br />
who demonstrate a need for f<strong>in</strong>ancial<br />
assistance. Donations from <strong>in</strong>dividuals,<br />
corporations, foundations and United<br />
Ways help support <strong>the</strong> <strong>camp</strong>ership<br />
fund. The Campership Application can<br />
be found on page 17 <strong>of</strong> this guide. The<br />
application must be submitted with your<br />
<strong>camp</strong>er’s registration. Applicants will be<br />
notified as to whe<strong>the</strong>r or not <strong>the</strong>y qualify<br />
for f<strong>in</strong>ancial assistance and will be expected<br />
to pay any balance due by June<br />
7, 2013.<br />
Save <strong>the</strong> Date<br />
Traditional Camp – $350/week*<br />
Ranch Camp – $450/week<br />
M<strong>in</strong>i Camp – $245*<br />
(only June 30–July 3)<br />
*add a horseback rid<strong>in</strong>g session<br />
for an additional $25.<br />
EARLY BIRD SPECIAL<br />
Register for <strong>camp</strong> on or before March<br />
1, 2013 and receive $15 <strong>of</strong>f Traditional,<br />
Ranch or Adventure Bound <strong>camp</strong> prices.<br />
This discount cannot be comb<strong>in</strong>ed with<br />
<strong>the</strong> bundled packag<strong>in</strong>g.<br />
CONFIRMATIONS<br />
After register<strong>in</strong>g your daughter for <strong>camp</strong>, you will<br />
receive a confirmation packet. The confirmation<br />
packet <strong>in</strong>cludes several different documents that<br />
must be completed prior to your <strong>camp</strong>er’s arrival.<br />
Please br<strong>in</strong>g <strong>the</strong> forms with you to <strong>camp</strong> and<br />
make sure <strong>the</strong>y are filled out <strong>in</strong> <strong>the</strong>ir entirety. To<br />
ensure <strong>the</strong> welfare <strong>of</strong> your child, she will be required<br />
to get a physical with<strong>in</strong> six months <strong>of</strong> her<br />
<strong>in</strong>tended <strong>camp</strong> stay. You will f<strong>in</strong>d this form with<strong>in</strong><br />
your confirmation packet.<br />
13
ADVENTURE BOUND<br />
Call<strong>in</strong>g all seventh through twelfth graders! Look<strong>in</strong>g for someth<strong>in</strong>g excit<strong>in</strong>g to do this summer?<br />
Sign up for one <strong>of</strong> our Adventure Bound programs and get a new sense <strong>of</strong> adventure.<br />
Adventure Bound <strong>in</strong>corporates traditional <strong>camp</strong><strong>in</strong>g with <strong>the</strong> rugged outdoors. Each trip will beg<strong>in</strong><br />
at <strong>the</strong> designated summer <strong>camp</strong> location. Participants will do team build<strong>in</strong>g activities on Sunday<br />
and prepare for <strong>the</strong> adventure ahead. Plann<strong>in</strong>g meals for <strong>the</strong> week, pack<strong>in</strong>g <strong>the</strong>ir equipment and<br />
gett<strong>in</strong>g ready are all a part <strong>of</strong> this experience.<br />
This program opportunity is for girls who want a more challeng<strong>in</strong>g experience. Please make sure<br />
your child is comfortable and confident <strong>in</strong> <strong>the</strong> adventure that she chooses.<br />
*<strong>Girl</strong>s will arrive back at <strong>camp</strong> Thursday even<strong>in</strong>g to jo<strong>in</strong> all <strong>of</strong> <strong>the</strong> <strong>camp</strong>ers <strong>in</strong> <strong>the</strong> all-<strong>camp</strong> activity unless<br />
o<strong>the</strong>rwise noted.<br />
BOATS AND BOOTS<br />
This is a great adventure for girls to try!<br />
Come to <strong>camp</strong> on Sunday; depart on<br />
Monday for a two day river trip down<br />
<strong>the</strong> Juniata River. Come back to <strong>camp</strong><br />
and have a go on our Giant Sw<strong>in</strong>g or<br />
take a Leap <strong>of</strong> Faith on our Adventure<br />
Course. On Wednesday, get ready to<br />
head out onto <strong>the</strong> Appalachian Trail<br />
– <strong>the</strong> world famous trail that extends<br />
from Ma<strong>in</strong>e to Georgia. F<strong>in</strong>ish up your<br />
week on our High Challenge Course<br />
and Zip L<strong>in</strong>e!<br />
*Must be a confident swimmer.<br />
Dates: July 7-12<br />
Cost: $575<br />
Grades: 7th-12th<br />
Location: Camp Small Valley<br />
SPOKES AND SPLASH<br />
Head up to <strong>the</strong> <strong>Pennsylvania</strong> Grand Canyon<br />
for this excit<strong>in</strong>g trek! Start it <strong>of</strong>f right<br />
with a trip down <strong>the</strong> P<strong>in</strong>e Creek Gorge.<br />
Take <strong>in</strong> <strong>the</strong> natural beauty and view <strong>the</strong><br />
Bald Eagles. Get onto a bike and check<br />
out this “Top 10 Great Bike Tour” trail.<br />
F<strong>in</strong>ish <strong>of</strong>f <strong>the</strong> trip with an <strong>in</strong>credible hike<br />
that <strong>of</strong>fers scenic vistas <strong>of</strong> <strong>Pennsylvania</strong>.<br />
Come back to <strong>camp</strong> and enjoy <strong>the</strong> <strong>camp</strong>fire<br />
and relax before head<strong>in</strong>g home on<br />
Friday.<br />
*Must be a confident swimmer and able to ride<br />
a bicycle.<br />
Dates: July 21-26<br />
Cost: $675<br />
Grades: 7th-12th<br />
Location: Camp Small Valley<br />
14
Sleep Away Camp Registration Form<br />
Please pr<strong>in</strong>t clearly <strong>in</strong> blue or black <strong>in</strong>k. (An electronic form can be found on our Web site www.gshpa.org.) Please fill <strong>in</strong> all<br />
<strong>in</strong>formation and mail with a non-refundable $50.00 deposit per <strong>camp</strong> week to: GSHPA, Attn: Registrar, 350 Hale Avenue,<br />
Harrisburg, PA 17104.<br />
Contact Information<br />
Camper’s Name Troop#<br />
Parent 1 Parent 2<br />
Address<br />
City State Zip Code<br />
Daytime Phone ( ) Even<strong>in</strong>g Phone ( )<br />
Email Address<br />
Emergency Contact Name Phone ( )<br />
Camper DOB (M/D/Y) Camper Grade Camper Age<br />
Fall <strong>of</strong> 2013 School Grade Level<br />
Brownie: □ 2 nd Grade □ 3 rd Grade Junior: □ 4 th Grade □ 5 th Grade<br />
Cadette: □ 6 th Grade □ 7 th Grade □ 8 th Grade Senior: □ 9 th Grade □ 10 th Grade<br />
My child would like to attend <strong>camp</strong> with a buddy: □ Yes □ No<br />
Please list name <strong>of</strong> ONE buddy<br />
Allergies Dietary Restrictions<br />
Ethnic Orig<strong>in</strong>: □ American Indian/Alaskan Native □ Asian/Pacific □ Black □ White □ Hispanic<br />
Sleep Away Camp Sessions<br />
Please select <strong>the</strong> follow<strong>in</strong>g <strong>camp</strong> session(s) your child would like attend.<br />
Traditional Camp ($350 per week)<br />
□ Week 1 June 16-21, 2013 □ Week 5 July 21-26, 2013<br />
□ Week 2 June 23-28, 2013 □ Week 6 July 28-August 2, 2013<br />
□ Week 3 July 7-12, 2013 □ Week 7 August 4-9, 2013<br />
□ Week 4 July 14-19, 2013 □ Week 8 August 11-16, 2013<br />
□ Horseback Rid<strong>in</strong>g $25 Fee (1 trail ride/arena lesson only)<br />
Ranch Camp ($450 per week)<br />
□ Week 1 June 16-21, 2013 □ Week 5 July 21-26, 2013<br />
□ Week 2 June 23-28, 2013 □ Week 6 July 28-August 2, 2013<br />
□ Week 3 July 7-12, 2013 □ Week 7 August 4-9, 2013<br />
□ Week 4 July 14-19, 2013 □ Week 8 August 11-16, 2013<br />
M<strong>in</strong>i Camp ($245)<br />
□ June 30 – July 3, 2013 (4 days)<br />
Sleep Away Camp Registration Rev. 10/2012<br />
15
Trad<strong>in</strong>g Post Packages* (non-refundable)<br />
*Please note, no cash/checks are accepted at <strong>the</strong> Trad<strong>in</strong>g Post.<br />
□ $10 □ $25 □ $50 □ $75 □ $ (O<strong>the</strong>r amount.)<br />
Payment Information<br />
Please Choose One:<br />
□ Camper is a registered <strong>Girl</strong> Scout with GSHPA<br />
□ Camper is a registered <strong>Girl</strong> Scout outside <strong>of</strong> GSHPA<br />
If so, Troop # Council Name<br />
□ Camper is NOT a registered <strong>Girl</strong> Scout (additional $12 fee required*)<br />
*This registrant has my permission to jo<strong>in</strong> <strong>Girl</strong> <strong>Scouts</strong>. Please complete and return <strong>Girl</strong><br />
Registration form.<br />
Traditional Camp<br />
How many TOTAL <strong>camp</strong> sessions x $350 = $<br />
How many <strong>camp</strong> deposits x $50 (subtracted from total) - $<br />
Horseback Rid<strong>in</strong>g Fee per <strong>camp</strong> session x $25 + $<br />
Non <strong>Girl</strong> Scout Fee ($12) + $<br />
TOTAL = $<br />
Ranch Camp<br />
How many TOTAL <strong>camp</strong> sessions x $450 = $<br />
How many <strong>camp</strong> deposits x $50 (subtracted from total) - $<br />
Non <strong>Girl</strong> Scout Fee ($12) + $<br />
TOTAL = $<br />
TOTAL FROM ABOVE = $<br />
Early Bird Registration: March 1, 2013 ($15) - $<br />
Bundled Packages – Traditional Camp Only ($25/week) - $<br />
Campership Amount Requested - $<br />
Product Sales Dough Amount (Must send <strong>in</strong> card.) - $<br />
Trad<strong>in</strong>g Post Package + $<br />
Donation/Sponsor ano<strong>the</strong>r Camper + $<br />
TOTAL ENCLOSED = $<br />
Payment Type<br />
□ Check Check # Amount Enclosed:<br />
□ Credit Card □ Visa □ MasterCard □ Discover<br />
Account #: CCV (code on back):<br />
Expiration Date: Amount to be Charged:<br />
□ Money Order Money Order #: Amount Enclosed:<br />
My child has permission to attend Sleep Away Camp and to participate <strong>in</strong> all phases <strong>of</strong> activities both on and <strong>of</strong>f <strong>camp</strong> property,<br />
<strong>in</strong>clud<strong>in</strong>g transportation out <strong>of</strong> <strong>camp</strong>, except as noted on <strong>the</strong> health form. I accept full responsibility <strong>of</strong> possible risk when horseback<br />
rid<strong>in</strong>g, climb<strong>in</strong>g or participat<strong>in</strong>g on <strong>the</strong> challenge courses. When participat<strong>in</strong>g <strong>in</strong> <strong>camp</strong>, she may be photographed for pr<strong>in</strong>t, video or<br />
electronic imag<strong>in</strong>g. We agree <strong>the</strong> images may be used <strong>in</strong> promotional materials, news releases and o<strong>the</strong>r published formats for<br />
ei<strong>the</strong>r <strong>the</strong> local <strong>Girl</strong> Scout Council or <strong>Girl</strong> <strong>Scouts</strong> <strong>of</strong> <strong>the</strong> USA. I have read <strong>the</strong> <strong>camp</strong> guide and agree to cooperate with all regulations.<br />
I agree not to hold <strong>the</strong> Council or its representatives responsible <strong>in</strong> cases <strong>of</strong> illness, accident or loss. I have read and understand <strong>the</strong><br />
registration <strong>in</strong>formation. The <strong>in</strong>formation above is correct and complete to <strong>the</strong> best <strong>of</strong> my knowledge.<br />
Signature Date<br />
Sleep Away Camp Registration Rev. 10/2012<br />
16
FOR OFFICE USE ONLY<br />
Dates: Received Reviewed Notified<br />
Amount granted: $ Source:<br />
Reason if denied:<br />
CAMPERSHIP APPLICATION<br />
F<strong>in</strong>ancial Assistance<br />
(For registered GSHPA <strong>Girl</strong> <strong>Scouts</strong> only)<br />
APPLICATION MUST BE COMPLETED IN FULL TO BE CONSIDERED FOR ASSISTANCE. Applications not<br />
completed <strong>in</strong> full will be returned. Mail this application to: GSHPA, Attn: Registrar, 350 Hale Avenue, Harrisburg,<br />
PA 17104.<br />
Camper’s Name<br />
Address<br />
City State Zip County<br />
DOB (month/day/year) Age as <strong>of</strong> June 1 Grade as <strong>of</strong> fall 2013<br />
Service Unit Troop Number<br />
<strong>Girl</strong> Scout level as <strong>of</strong> fall 2013:<br />
Daisy Brownie Junior Cadette Senior Ambassador<br />
# Years she has been a <strong>Girl</strong> Scout<br />
Previous <strong>camp</strong><strong>in</strong>g experience: Day Sleep Away Troop None<br />
Parent Guardian Information:<br />
S<strong>in</strong>gle Parent/Guardian Household Double Parent/Guardian Household<br />
Name<br />
Occupation Full-time Part-time<br />
Home Phone ( ) Work Phone ( ) Cell ( )<br />
Name<br />
Occupation Full-time Part-time<br />
Home Phone ( ) Work Phone ( ) Cell ( )<br />
Event Information (All applicants complete this section.)<br />
Program Name Program Date<br />
Choose One: Sleep Away Camp – Small Valley<br />
Why is your <strong>Girl</strong> Scout <strong>in</strong>terested <strong>in</strong> attend<strong>in</strong>g this <strong>camp</strong>?<br />
2013 <strong>Summer</strong> Camp <strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong> - 10/2012<br />
17
F<strong>in</strong>ancial Information (All applicants complete this section.)<br />
Did your <strong>Girl</strong> Scout participate <strong>in</strong>: Fall Product Program (magaz<strong>in</strong>e/nuts)? Yes No<br />
Cookie Program? Yes No Number <strong>of</strong> boxes sold?<br />
Are any sibl<strong>in</strong>gs attend<strong>in</strong>g <strong>camp</strong>? Yes No<br />
If yes, <strong>the</strong>ir name(s)? Camp?<br />
Amount troop can pay: + $<br />
Amount family/<strong>camp</strong>er can pay: + $ Camp Fee $<br />
Product Sales Dough earned + $ Early Bird/Bundle Discounts - $<br />
Total troop/family can pay = $ → Total troop/family can pay - $<br />
Amount Request<strong>in</strong>g = $<br />
Has applicant received f<strong>in</strong>ancial support from <strong>Girl</strong> <strong>Scouts</strong> before?<br />
Yes No If Yes: When? How Much?<br />
Gross Family Income (most recent tax return): Household Income: S<strong>in</strong>gle Double<br />
Check all that apply: Unemployment SSI Disability Salaries<br />
Child Support O<strong>the</strong>r<br />
Total number <strong>of</strong> family members liv<strong>in</strong>g at home: Adults Children Children Ages<br />
Total number <strong>of</strong> persons dependent upon household <strong>in</strong>come:<br />
Do you receive subsidized school meals? Reduced Home Schooled<br />
Why are you request<strong>in</strong>g F<strong>in</strong>ancial Assistance (do not leave blank):<br />
To <strong>the</strong> best <strong>of</strong> my knowledge, all <strong>of</strong> <strong>the</strong> above <strong>in</strong>formation is complete, correct, and participation <strong>in</strong> this <strong>camp</strong><br />
activity would not be possible without a <strong>camp</strong>ership.<br />
Signature Date<br />
2013 <strong>Summer</strong> Camp <strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong> - 10/2012<br />
18
Adventure Bound Registration Form<br />
Please pr<strong>in</strong>t clearly <strong>in</strong> blue or black <strong>in</strong>k. (An electronic form can be found on our Web site www.gshpa.org.) Please fill <strong>in</strong> all<br />
<strong>in</strong>formation and mail with a non-refundable $50.00 deposit per Adventure Bound week to: GSHPA, Attn: Registrar, 350 Hale<br />
Avenue, Harrisburg, PA 17104.<br />
Contact Information<br />
Camper’s Name Troop#<br />
Parent 1 Parent 2<br />
Address<br />
City State Zip Code<br />
Daytime Phone ( ) Even<strong>in</strong>g Phone ( )<br />
Email Address<br />
Emergency Contact Name Phone ( )<br />
Camper DOB (M/D/Y) Camper Grade Camper Age<br />
Fall <strong>of</strong> 2013 School Grade Level<br />
Cadette: □ 7 th Grade □ 8 th Grade<br />
Senior: □ 9 th Grade □ 10 th Grade<br />
Ambassador: □ 11 th Grade □ 12 th Grade<br />
Allergies Dietary Restrictions<br />
Ethnic Orig<strong>in</strong>: □ American Indian/Alaskan Native □ Asian/Pacific □ Black □ White □ Hispanic<br />
Adventure Bound Programs<br />
These programs have a very limited capacity. Please select which program your daughter would like to<br />
attend. If applicable, please provide a second choice should her first choice be unavailable. If <strong>in</strong>terested<br />
<strong>in</strong> attend<strong>in</strong>g both programs, please note accord<strong>in</strong>gly.<br />
Small Valley<br />
□ Boats and Boots ($575) July 7-12 Grades 7 th -12 th □ 1 st Choice □ 2 nd Choice<br />
□ Spokes and Splash (675) July 21-26 Grades 7 th -12 th □ 1 st Choice □ 2 nd Choice<br />
□ My daughter would like to attend both programs.<br />
Trad<strong>in</strong>g Post Packages* (non-refundable)<br />
*Please note, no cash/checks are accepted at <strong>the</strong> Trad<strong>in</strong>g Post.<br />
□ $10 □ $25 □ $50 □ $75 □ $ (O<strong>the</strong>r amount.)<br />
Payment <strong>in</strong>formation on back<br />
Adventure Bound Registration Rev. 10/2012<br />
19
Payment Information<br />
Please Choose One:<br />
□ Camper is a registered <strong>Girl</strong> Scout with GSHPA<br />
□ Camper is a registered <strong>Girl</strong> Scout outside <strong>of</strong> GSHPA<br />
If so, Troop # Council Name<br />
□ Camper is NOT a registered <strong>Girl</strong> Scout (additional $12 fee required*)<br />
*This registrant has my permission to jo<strong>in</strong> <strong>Girl</strong> <strong>Scouts</strong>. Please complete and return <strong>Girl</strong><br />
Registration form.<br />
Adventure Bound<br />
Boats and Boots ($575) = $<br />
Spokes and Splash ($675)<br />
How many <strong>camp</strong> deposits x $50 (subtracted from total) - $<br />
Non <strong>Girl</strong> Scout Fee ($12) + $<br />
TOTAL = $<br />
TOTAL FROM ABOVE = $<br />
Early Bird Registration: March 1, 2013 ($15) - $<br />
Campership Amount Requested - $<br />
Product Sales Dough Amount (Must send <strong>in</strong> card.) - $<br />
Trad<strong>in</strong>g Post Package + $<br />
Donation/Sponsor ano<strong>the</strong>r Camper + $<br />
TOTAL ENCLOSED = $<br />
Payment Type<br />
□ Check Check # Amount Enclosed:<br />
□ Credit Card □ Visa □ MasterCard □ Discover<br />
Account #: CCV (code on back):<br />
Expiration Date: Amount to be Charged:<br />
□ Money Order Money Order #: Amount Enclosed:<br />
My child has permission to attend <strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong>’s Adventure Program and to participate <strong>in</strong> all phases <strong>of</strong><br />
activities both on and <strong>of</strong>f <strong>camp</strong> property, <strong>in</strong>clud<strong>in</strong>g transportation out <strong>of</strong> <strong>camp</strong>, except as noted on <strong>the</strong> health form. When<br />
participat<strong>in</strong>g <strong>in</strong> <strong>camp</strong>, she may be photographed for pr<strong>in</strong>t, video or electronic imag<strong>in</strong>g. We agree <strong>the</strong> images may be used <strong>in</strong><br />
promotional materials, news releases and o<strong>the</strong>r published formats for ei<strong>the</strong>r <strong>the</strong> local <strong>Girl</strong> Scout Council or <strong>Girl</strong> <strong>Scouts</strong> <strong>of</strong> <strong>the</strong> USA. I<br />
agree not to hold <strong>the</strong> Council or its representatives responsible <strong>in</strong> cases <strong>of</strong> illness, accident or loss. I have read and understand <strong>the</strong><br />
registration <strong>in</strong>formation. The <strong>in</strong>formation above is correct and complete to <strong>the</strong> best <strong>of</strong> my knowledge.<br />
Signature Date<br />
Please Pr<strong>in</strong>t Your Name<br />
Adventure Bound Registration Rev. 10/2012<br />
20
CIT I PROGRAM<br />
The Counselor-<strong>in</strong>-Tra<strong>in</strong><strong>in</strong>g (CIT) Program is for girls <strong>in</strong><br />
grades 10–12. The program helps transition <strong>camp</strong>ers<br />
<strong>in</strong>to counselors. <strong>Girl</strong>s will have <strong>the</strong> opportunity to hone <strong>in</strong><br />
on <strong>the</strong>ir skills by challeng<strong>in</strong>g <strong>the</strong>m with new responsibilities<br />
and a time for growth.<br />
Pre-<strong>camp</strong> is required for all CITs. Please plan to attend<br />
tra<strong>in</strong><strong>in</strong>g June 9–13.<br />
Both <strong>the</strong> CIT I and II Programs, require you to arrive at<br />
<strong>camp</strong> on Sunday and depart on Friday.<br />
For consideration <strong>in</strong>to <strong>the</strong> CIT I or II Program, you must<br />
submit your Registration form by April 30, 2013. You will<br />
receive notification <strong>in</strong> <strong>the</strong> mail by mid-May.<br />
Save <strong>the</strong> Date<br />
CIT I Program Fee<br />
$150 – 6 weeks<br />
(July 7 – August 16)<br />
$250 – 9 weeks<br />
(June 16 – August 16)<br />
CIT II Program Fee<br />
$275 – 9 weeks<br />
(June 16 – August 16 )<br />
*9 week CIT I & II’s will have June 30 – July<br />
6 <strong>of</strong>f and will resume on Sunday, July 7.<br />
CIT I PROGRAM<br />
The Counselor-<strong>in</strong>-Tra<strong>in</strong><strong>in</strong>g program <strong>of</strong>fers high<br />
school girls an opportunity to learn leadership and<br />
outdoor skills needed to work with girls <strong>in</strong> <strong>the</strong> out<br />
<strong>of</strong> doors. Dur<strong>in</strong>g <strong>the</strong> CIT program, CITs will explore<br />
<strong>the</strong> areas <strong>of</strong> <strong>camp</strong> craft skills, group dynamics,<br />
child development, program plann<strong>in</strong>g skills, <strong>camp</strong><br />
operations and <strong>the</strong> role <strong>of</strong> <strong>the</strong> <strong>camp</strong> counselor.<br />
The tra<strong>in</strong><strong>in</strong>g program <strong>in</strong>cludes regular hours devoted<br />
to classes, plus actual experience work<strong>in</strong>g with<br />
children under <strong>the</strong> supervision <strong>of</strong> <strong>camp</strong> staff. The<br />
apprentice program is open on a selective basis to<br />
those who have passed <strong>the</strong> <strong>in</strong>itial requirements and<br />
have received positive recommendations.<br />
CITs will actively take part <strong>in</strong> a <strong>camp</strong> apprenticeship.<br />
<strong>Girl</strong>s will be required to attend pre-<strong>camp</strong><br />
tra<strong>in</strong><strong>in</strong>g June 9–13 at Small Valley. CITs will be<br />
expected to complete an evaluation and develop<br />
a program by <strong>the</strong> end <strong>of</strong> <strong>the</strong>ir term. In addition<br />
to program development, CITs will shadow and<br />
support, when needed, various <strong>camp</strong> staff to fully<br />
understand <strong>the</strong> roles everyone takes on at <strong>camp</strong>.<br />
For example, a CIT may f<strong>in</strong>d herself one day at <strong>the</strong><br />
waterfront, and <strong>the</strong> next day at <strong>the</strong> ranch. CITs will<br />
also spend time observ<strong>in</strong>g and ga<strong>in</strong> an understand<strong>in</strong>g<br />
<strong>of</strong> <strong>the</strong> <strong>Girl</strong> Scout organization, management<br />
and structure <strong>of</strong> <strong>the</strong> <strong>camp</strong> operation.<br />
To be eligible to apply, a CIT applicant must be<br />
at least a second year <strong>Girl</strong> Scout Senior or be <strong>in</strong><br />
tenth grade to be able to participate <strong>in</strong> <strong>the</strong> program.<br />
Interested girls must fill out <strong>the</strong> registration and application<br />
forms. All applications must be postmarked<br />
by April 30, 2013. Applicants will receive a<br />
written notification <strong>of</strong> <strong>the</strong>ir application status <strong>in</strong> <strong>the</strong><br />
mail mid- May. All letters <strong>of</strong> recommendation must<br />
be received by USPS or email by May 1.<br />
21
CIT II PROGRAM<br />
CIT II PROGRAM<br />
In order to apply for <strong>the</strong> CIT II, <strong>in</strong>terested girls must have successfully completed <strong>the</strong> CIT I Program<br />
<strong>in</strong> 2011 or 2012. The CIT II Program is ten weeks <strong>in</strong>clud<strong>in</strong>g pre-<strong>camp</strong>. The weekends <strong>of</strong><br />
TAC and Family Camps, you may choose to stay on <strong>camp</strong> property and assist with programm<strong>in</strong>g.<br />
The CIT II Program is a great opportunity to assist and create some <strong>of</strong> your own programm<strong>in</strong>g <strong>in</strong><br />
conjunction with <strong>the</strong> <strong>camp</strong> counselor or activity leader. This opportunity will allow you to bridge<br />
easily <strong>in</strong>to <strong>the</strong> <strong>camp</strong> counselor role for <strong>the</strong> follow<strong>in</strong>g year.<br />
*CIT II applicants only need to fill out <strong>the</strong> CIT Registration Form.<br />
Save <strong>the</strong> Date<br />
CIT I Program Fee<br />
$150 – 6 weeks<br />
(July 7 – August 16)<br />
$250 – 9 weeks<br />
(June 16 – August 16)<br />
CIT II Program Fee<br />
$275 – 9 weeks<br />
(June 16 – August 16 )<br />
*9 week CIT I & II’s will have June 30 – July 6<br />
<strong>of</strong>f and will resume on Sunday, July 7.<br />
“My daughter Pressley has<br />
gone to resident <strong>camp</strong> for three<br />
years now and has <strong>in</strong>formed me that<br />
she wants to go for <strong>the</strong> whole summer<br />
and wants to eventually be one <strong>of</strong> <strong>the</strong><br />
counselors when she gets older. She<br />
made friends and has pen pals from<br />
each year at <strong>camp</strong>. Pressley has gone to<br />
Camp Small Valley (one year) and Furnace<br />
Hills (two years) and is very excited<br />
about <strong>the</strong> new rope courses but her<br />
favorite parts were archery<br />
and horseback trail rides.<br />
— Sharon E. McMaster,<br />
York, PA<br />
(mo<strong>the</strong>r <strong>of</strong> Pressley <strong>in</strong> Junior Troop 20882)<br />
22
CIT Registration Form<br />
Please pr<strong>in</strong>t clearly <strong>in</strong> blue or black <strong>in</strong>k. (An electronic form can be found on our Web site www.gshpa.org.) Please fill <strong>in</strong> all<br />
<strong>in</strong>formation and mail with a non-refundable $50.00 deposit per Adventure Bound week to: GSHPA, Attn: Registrar, 350 Hale<br />
Avenue, Harrisburg, PA 17104.<br />
Contact Information<br />
Camper’s Name Troop#<br />
Parent 1 Parent 2<br />
Address<br />
City State Zip Code<br />
Daytime Phone ( ) Even<strong>in</strong>g Phone ( )<br />
Email Address<br />
Emergency Contact Name Phone ( )<br />
Camper DOB (M/D/Y) Camper Grade Camper Age<br />
Fall <strong>of</strong> 2013 School Grade Level<br />
Senior: □ 10 th Grade Ambassador: □ 11 th Grade □ 12 th Grade<br />
Allergies Dietary Restrictions<br />
Ethnic Orig<strong>in</strong>: □ American Indian/Alaskan Native □ Asian/Pacific □ Black □ White □ Hispanic<br />
CIT I & II<br />
These programs have a very limited capacity. Please do not send <strong>in</strong> <strong>the</strong> payment until you have been<br />
accepted <strong>in</strong>to <strong>the</strong> program.<br />
Small Valley<br />
CIT I ($150) □ 6 Weeks CIT II ($275) □ 9 Weeks<br />
($250) □ 9 Weeks<br />
My child has permission to attend <strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong>’s Counselor <strong>in</strong> Tra<strong>in</strong><strong>in</strong>g Program and to participate <strong>in</strong> all<br />
phases <strong>of</strong> activities both on and <strong>of</strong>f <strong>camp</strong> property, <strong>in</strong>clud<strong>in</strong>g transportation out <strong>of</strong> <strong>camp</strong>, except as noted on <strong>the</strong> health form. When<br />
participat<strong>in</strong>g <strong>in</strong> <strong>camp</strong>, she may be photographed for pr<strong>in</strong>t, video or electronic imag<strong>in</strong>g. We agree <strong>the</strong> images may be used <strong>in</strong><br />
promotional materials, news releases and o<strong>the</strong>r published formats for ei<strong>the</strong>r <strong>the</strong> local <strong>Girl</strong> Scout Council or <strong>Girl</strong> <strong>Scouts</strong> <strong>of</strong> <strong>the</strong> USA. I<br />
agree not to hold <strong>the</strong> Council or its representatives responsible <strong>in</strong> cases <strong>of</strong> illness, accident or loss. I have read and understand <strong>the</strong><br />
registration <strong>in</strong>formation. The <strong>in</strong>formation above is correct and complete to <strong>the</strong> best <strong>of</strong> my knowledge.<br />
Signature Date<br />
Please Pr<strong>in</strong>t Your Name<br />
CIT Registration Rev. 10/2012<br />
23
Counselor <strong>in</strong> Tra<strong>in</strong><strong>in</strong>g (CIT I) Program Application<br />
Please pr<strong>in</strong>t clearly <strong>in</strong> blue or black <strong>in</strong>k. (An electronic form can be found on our Web site www.gshpa.org.) Please return your<br />
completed application by April 30, 2013 to: GSHPA, Attn: Outdoor Program Manager, 350 Hale Avenue, Harrisburg, PA 17104.<br />
All applicants must sign and date <strong>the</strong>ir applications. If you need more space, please attach a separate piece <strong>of</strong> paper, with your<br />
name and supplemental <strong>in</strong>formation, to this application. You may attach copies <strong>of</strong> certificates, etc. if you wish. THIS APPLICATION<br />
IS ONLY FOR THE CIT I PROGRAM.<br />
Contact Information<br />
Camper’s Name Troop#<br />
Parent 1 Parent 2<br />
Address<br />
City State Zip Code<br />
Daytime Phone ( ) Even<strong>in</strong>g Phone ( )<br />
Email Address<br />
Emergency Contact Name Phone ( )<br />
Camper DOB (M/D/Y) Camper Grade Camper Age<br />
Fall <strong>of</strong> 2013 School Grade Level<br />
Senior: □ 10 th Grade Ambassador: □ 11 th Grade □ 12 th Grade<br />
Name and location <strong>of</strong> school you will be attend<strong>in</strong>g <strong>in</strong> <strong>the</strong> fall:<br />
Allergies Dietary Restrictions<br />
Ethnic Orig<strong>in</strong>: □ American Indian/Alaskan Native □ Asian/Pacific □ Black □ White □ Hispanic<br />
I would like to attend for: □ 6 Weeks □ 9 Weeks<br />
Volunteer Experience with Troops, Service Units/Associations, or O<strong>the</strong>r<br />
Job Title/Duties Organization Address Dates<br />
Name courses you have taken which relate to <strong>camp</strong><strong>in</strong>g, outdoor education, leadership skills, child<br />
development, outdoor skills, special skills, etc.<br />
Course Name Agency/School Course Date(s) Skills/Topics Learned<br />
CIT I Program Application Rev. 10/2012<br />
24
Camp<strong>in</strong>g Experience (please list number <strong>of</strong> years <strong>of</strong> experience)<br />
Troop Sleep Away Camp Day Camp Family<br />
Name <strong>of</strong> Sleep Away Camps Attended (agency or religious)<br />
Name <strong>of</strong> Camp City/State Sponsor<strong>in</strong>g Organization Position<br />
Certificates<br />
Please list any CURRENT certificates you hold, <strong>in</strong>clud<strong>in</strong>g first aid, CPR, lifesav<strong>in</strong>g, canoe<strong>in</strong>g, etc.<br />
Certificate <strong>in</strong>: Exp. Date:<br />
Certificate <strong>in</strong>: Exp. Date:<br />
Certificate <strong>in</strong>: Exp. Date:<br />
I have already completed a previous CIT program/level. □ Yes □ No<br />
If yes, what program/level was completed and where was tra<strong>in</strong><strong>in</strong>g taken?<br />
Program: Agency: Where: Yr:<br />
Education/Tra<strong>in</strong><strong>in</strong>g<br />
On a separate piece <strong>of</strong> paper, tell us <strong>in</strong> your own words:<br />
1. What you hope to ga<strong>in</strong> from <strong>the</strong> CIT experience.<br />
2. What you have to <strong>of</strong>fer <strong>the</strong> CIT program.<br />
3. What your future goals are.<br />
References<br />
Please have three (3) letters <strong>of</strong> recommendation with your entire name with<strong>in</strong> <strong>the</strong> body <strong>of</strong> <strong>the</strong> letter.<br />
Letters cannot be from family members. You can have references mail <strong>the</strong> letters <strong>of</strong> recommendation to:<br />
GSHPA, Attn: Outdoor Program Manager, 350 Hale Avenue, Harrisburg, PA 17104 or <strong>camp</strong>@gshpa.org.<br />
My signature acknowledges that <strong>the</strong> statements made with<strong>in</strong> this application are, to <strong>the</strong> best <strong>of</strong> my<br />
knowledge complete and accurate.<br />
Signature Date<br />
Please Pr<strong>in</strong>t Your Name<br />
CIT I Program Application Rev. 10/2012<br />
25
WHEN GIRLS<br />
SUCCEED,<br />
SO DOES<br />
SOCIETY
TROOP ADVENTURE<br />
CAMP (TAC)<br />
Troop Adventure Camp (TAC) is a great way for troops to experience outdoor adventures <strong>in</strong> a fun<br />
and safe environment. This is also an awesome way for troops to participate <strong>in</strong> summer <strong>camp</strong><br />
toge<strong>the</strong>r. All activities are planned for you! There is no need for an accompany<strong>in</strong>g adult volunteer<br />
to have completed outdoor tra<strong>in</strong><strong>in</strong>g or have any prior experience with <strong>camp</strong><strong>in</strong>g.<br />
Attend<strong>in</strong>g troops must have at least one accompany<strong>in</strong>g adult who is a certified first aider. All troops<br />
are to adhere to <strong>Girl</strong> Scout ratios. <strong>Girl</strong> Scout ratios will be strictly enforced and GSHPA has <strong>the</strong><br />
right to remove additional adults from <strong>the</strong> required ratio.<br />
LODGING AND FACILITIES<br />
At each location <strong>the</strong>re are different types <strong>of</strong> lodg<strong>in</strong>g: cab<strong>in</strong>s, tents and lodges. Prior to your troop’s<br />
arrival, you will be assigned a lodg<strong>in</strong>g location. Please prepare your girls to stay <strong>in</strong> tents. Mattresses<br />
may be on <strong>the</strong> floor or on cots. In tents, all mattresses are on cots. Most <strong>of</strong> our sleep<strong>in</strong>g units<br />
provide latr<strong>in</strong>es nearby. Shower<strong>in</strong>g facilities are also available.<br />
MEALS<br />
Four meals will be provided as<br />
well as one snack. Meals on<br />
Saturday are hot and served cafeteria<br />
style. In addition to our hot<br />
selection, you may also choose to<br />
eat from our salad bar that <strong>of</strong>fers<br />
a variety <strong>of</strong> cold salads. On Sunday,<br />
a cont<strong>in</strong>ental breakfast will<br />
be served. If <strong>the</strong>re are any dietary<br />
restrictions or allergies, please<br />
make sure to contact <strong>the</strong> Outdoor<br />
Program Manager and state it on<br />
your registration form.<br />
Ratios<br />
<strong>Girl</strong> Scout Daisies<br />
(K–grade 1)<br />
<strong>Girl</strong> Scout Brownies<br />
(grades 2–3)<br />
<strong>Girl</strong> Scout Juniors<br />
(grades 4–5)<br />
<strong>Girl</strong> Scout Cadettes<br />
(grades 6–8)<br />
<strong>Girl</strong> Scout Seniors<br />
(grades 9–10)<br />
Two unrelated adults (at least<br />
one <strong>of</strong> whom is female) for<br />
this number <strong>of</strong> girls:<br />
Plus one additional adult for<br />
each additional number <strong>of</strong><br />
this many girls:<br />
6 4<br />
12 6<br />
16 8<br />
20 10<br />
24 12<br />
27
BADGES AND PATCHES<br />
<strong>Girl</strong>s will earn a patch for participat<strong>in</strong>g <strong>in</strong><br />
our Troop Adventure Camp Weekends.<br />
(TAC) CONT.<br />
ACTIVITIES<br />
Upon arrival, each troop will receive <strong>the</strong>ir lodg<strong>in</strong>g assignment, schedule <strong>of</strong> events and a <strong>camp</strong> map.<br />
Friday even<strong>in</strong>g, you can expect a traditional <strong>camp</strong>fire with a snack, ready to go by our experienced<br />
summer <strong>camp</strong> staff after you have settled <strong>in</strong>. Saturday will br<strong>in</strong>g some free choice activities as well<br />
as scheduled activities. Activities will <strong>in</strong>clude swimm<strong>in</strong>g, arts and crafts, archery, field games, hikes,<br />
climb<strong>in</strong>g tower, horseback rid<strong>in</strong>g* and more.<br />
*In <strong>in</strong>clement wea<strong>the</strong>r and extreme heat, horseback rid<strong>in</strong>g will not be <strong>of</strong>fered. However, an opportunity for girls to<br />
learn and get up close to <strong>the</strong> horses will still be available.<br />
“<br />
I started shar<strong>in</strong>g <strong>Girl</strong> Scout<br />
Camp with my stepdaughter<br />
three years ago. I spent<br />
every summer at <strong>camp</strong> as a girl,<br />
made many friendships, and learned<br />
life-long skills. Autumn will return<br />
aga<strong>in</strong> this summer <strong>in</strong> <strong>the</strong> Cadette<br />
Unit. She is super excited for this<br />
summer and is look<strong>in</strong>g forward to<br />
tra<strong>in</strong><strong>in</strong>g next year as a program aide.<br />
She has learned <strong>the</strong> greatest th<strong>in</strong>g<br />
about <strong>camp</strong> — to be yourself,<br />
have fun and help o<strong>the</strong>rs!<br />
— Jennifer Hossler Shearer,<br />
Spr<strong>in</strong>g Grove, PA<br />
(Step-mo<strong>the</strong>r <strong>of</strong> Autumn)<br />
Save <strong>the</strong> Date<br />
Adventure Day Program<br />
Dates: July 6<br />
Time: 9 a.m. – 4 p.m., Saturday<br />
Cost: $20/girl; $10 adult<br />
Grades: K-12<br />
Location: Camp Small Valley<br />
<strong>Summer</strong> Time Fun Program<br />
Dates: July 12 – 14<br />
Time: 7 p.m., Friday –10 a.m. Sunday<br />
Cost: $70/girl; $50 adult<br />
Grades: K-12<br />
Location: Camp Small Valley<br />
<strong>Summer</strong> End Celebration Program<br />
Dates: August 2 – 4<br />
Time: 7 p.m., Friday – 10 a.m. Sunday<br />
Cost: $70/girl; $50 adult<br />
Grades: K-12<br />
Location: Camp Small Valley<br />
28
Troop Adventure Camp Registration Form<br />
Please pr<strong>in</strong>t clearly <strong>in</strong> blue or black <strong>in</strong>k. (An electronic form can be found on our Web site www.gshpa.org.) Please fill <strong>in</strong> all<br />
<strong>in</strong>formation and mail payment <strong>in</strong> full to: GSHPA, Attn: Registrar, 350 Hale Avenue, Harrisburg, PA 17104.<br />
Contact Information<br />
Leader Name Troop#<br />
Address<br />
City State Zip Code<br />
Daytime Phone ( ) Even<strong>in</strong>g Phone ( )<br />
Email Address<br />
Fall <strong>of</strong> 2013 <strong>Girl</strong> Scout Level<br />
Daisy: K 1st Grade Brownie: 2 nd Grade 3 rd Grade<br />
Junior: 4 th Grade 5 th Grade Cadette: 6 th Grade 7 th Grade 8 th Grade<br />
Senior: 9 th Grade 10 th Grade Ambassdor: 11 th Grade 12 th Grade<br />
Multi-Level (how many) D B J C S A<br />
TAC Program<br />
These programs have a very limited capacity. Ratios will be strictly enforced.<br />
Adventure Day <strong>Summer</strong> Time Fun <strong>Summer</strong> End Celebration<br />
July 6, 2013 July 12-14, 2013 August 2-4, 2013<br />
($20/girl | $10/adult) ($70 girl | $50 adult) ($70/girl | $50/adult)<br />
If Program is Full, Please:<br />
Return my registration. Place my troop on <strong>the</strong> wait<strong>in</strong>g list<br />
Place my troop <strong>in</strong> <strong>the</strong> alternate program:<br />
Payment Information<br />
Attendance Total<br />
How many TOTAL girls attend<strong>in</strong>g x $ = $<br />
How many TOTAL adults attend<strong>in</strong>g x $ + $<br />
TOTAL ENCLOSED = $<br />
Payment Type<br />
Check Check # Amount Enclosed:<br />
Credit Card Visa MasterCard Discover<br />
Account #: CCV (code on back):<br />
Expiration Date: Amount to be Charged:<br />
Money Order Money Order #: Amount Enclosed:<br />
I have read and understand <strong>the</strong> registration <strong>in</strong>formation and have <strong>in</strong>cluded a troop roster on <strong>the</strong> back <strong>of</strong> this registration form. The<br />
payment <strong>in</strong> full is also enclosed.<br />
Signature Date<br />
Troop Adventure Camp Registration Rev. 10/2012<br />
29
Troop Roster<br />
*Leave a copy <strong>of</strong> this roster with <strong>the</strong> at-home Emergency Contact Person<br />
Troop # Service Unit #<br />
At-Home Contact Name: Phone Number: ( )<br />
<strong>Girl</strong>’s First and<br />
Last Name<br />
Grade as <strong>of</strong><br />
September<br />
2013<br />
Phone Number<br />
(with area code)<br />
Emergency Contact Emergency<br />
Contact’s Phone<br />
Number<br />
(with area code)<br />
Registered Adults Accompany<strong>in</strong>g <strong>the</strong> Troop<br />
Name Phone Number Role Emergency<br />
Contact<br />
Driver<br />
First-aider<br />
Chaperone<br />
O<strong>the</strong>r<br />
Driver<br />
First-aider<br />
Chaperone<br />
O<strong>the</strong>r<br />
Driver<br />
First-aider<br />
Chaperone<br />
O<strong>the</strong>r<br />
Driver<br />
First-aider<br />
Chaperone<br />
O<strong>the</strong>r<br />
Driver<br />
First-aider<br />
Chaperone<br />
O<strong>the</strong>r<br />
Contact’s Phone<br />
Number (with<br />
area code)<br />
Troop Adventure Camp Registration Rev. 10/2012<br />
30
F<strong>in</strong>ancial Assistance Application Form<br />
F<strong>in</strong>ancial Assistance Request for:<br />
Day Camp/Troop Adventure Camp (Please circle)<br />
Adult /<strong>Girl</strong> /Troop Leader (Please circle one)<br />
Membership Year: 2012-2013<br />
Important: Sections A and B must be completed <strong>in</strong> order to process <strong>the</strong> request.<br />
• Incomplete forms will result <strong>in</strong> a process<strong>in</strong>g delay.<br />
• Allow four (4) to six (6) weeks for process<strong>in</strong>g.<br />
• <strong>Girl</strong>s <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> PA has a f<strong>in</strong>ancial assistance fund to assist girls who might o<strong>the</strong>rwise be<br />
unable to participate <strong>in</strong> <strong>Girl</strong> Scout<strong>in</strong>g. F<strong>in</strong>ancial assistance is designed to supplement family resources,<br />
not replace <strong>the</strong>m. Every attempt is made to grant <strong>the</strong> items requested however, <strong>the</strong>re may be items<br />
denied due to fund<strong>in</strong>g constra<strong>in</strong>ts and/or eligibility issues. F<strong>in</strong>ancial assistance is granted only for <strong>the</strong><br />
items listed on this form. All applications are confidential and only shared as necessary with appropriate<br />
staff members to determ<strong>in</strong>e eligibility for assistance.<br />
Mail completed form to: <strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong> | ATTENTION: F<strong>in</strong>ancial Assistance<br />
Adm<strong>in</strong>istrator | 350 Hale Avenue | Harrisburg, PA 17104<br />
SECTION A – <strong>Girl</strong> or Adult Information-One Form per Applicant<br />
Name Address<br />
City State Zip Code<br />
( )<br />
Daytime Phone Email Address<br />
Service Unit Number County Position/Grade Level<br />
Troop Number Troop Leader Phone Number<br />
Leader’s Address City State Zip Code<br />
SECTION B – Family Information<br />
( )<br />
Applicant or Parent/Guardian Name Phone<br />
Employed by Title/Position<br />
( )<br />
Parent/Guardian Name Phone<br />
Employed by Title/Position<br />
Number <strong>of</strong> dependent children at home:<br />
Do your children receive subsidized school meals? Yes No<br />
Is your child(ren) home schooled? Yes No<br />
Gross Family Income (from your most recent tax return): $<br />
Total number <strong>of</strong> persons dependent on Household Income<br />
Check all that apply toward household <strong>in</strong>come:<br />
Unemployment<br />
SSI<br />
Disability<br />
Salaries<br />
Child Support<br />
O<strong>the</strong>r<br />
2013 <strong>Summer</strong> Camp - F<strong>in</strong>ancial Assistance Day Camp/Troop Adventure Camp Form Rev. 10/12<br />
31
F<strong>in</strong>ancial Assistance Application Form<br />
F<strong>in</strong>ancial Assistance Request for:<br />
Day Camp/Troop Adventure Camp (Please circle)<br />
Adult /<strong>Girl</strong> /Troop Leader (Please circle one)<br />
Membership Year: 2012-2013<br />
Why are you request<strong>in</strong>g F<strong>in</strong>ancial Assistance? (This must be filled out -Please add a separate piece <strong>of</strong> paper if<br />
additional space is needed)<br />
I hereby attest that <strong>the</strong> <strong>in</strong>formation I have provided on this form is, to <strong>the</strong> best <strong>of</strong> my knowledge, correct.<br />
I also attest that I am unable to fund <strong>the</strong> requested item(s) without F<strong>in</strong>ancial Assistance. I will be held<br />
f<strong>in</strong>ancially responsible for any fees not covered by approved f<strong>in</strong>ancial assistance.<br />
Signature <strong>of</strong> Applicant or Parent/Guardian Date<br />
Please check if item(s) requested can be discussed with Troop Leader. Yes No<br />
SECTION C – Request for F<strong>in</strong>ancial Assistance for Day Camp and Troop Adventure Camp<br />
Name <strong>of</strong> Activity Date(s) <strong>of</strong> Activity<br />
Location <strong>of</strong> Activity Please specify SU, Troop, or GSHPA Activity<br />
TOTAL COST OF ACTIVITY $<br />
Amount troop funds will pay: -<br />
Amount <strong>of</strong> Service Unit support: -<br />
Amount applicant can pay: -<br />
Amount provided by o<strong>the</strong>r sources (gift, fundrais<strong>in</strong>g, troop): -<br />
Sub Total: $<br />
TOTAL AMOUNT REQUESTED<br />
$<br />
Please attach a copy <strong>of</strong> <strong>the</strong> flyer/letter for <strong>the</strong> Activity requested. *Exception GSHPA Programs*<br />
Unless specified o<strong>the</strong>rwise, a check for <strong>the</strong> total amount award will be mailed directly to troop<br />
leader.<br />
Additional F<strong>in</strong>ancial Assistance Request forms can be found at http://www.gshpa.org/forms.html - F<strong>in</strong>ancial/Record Keep<strong>in</strong>g.<br />
2013 <strong>Summer</strong> Camp - F<strong>in</strong>ancial Assistance Day Camp/Troop Adventure Camp Form Rev. 10/12<br />
32
FAMILY<br />
CAMPING<br />
Save <strong>the</strong> Date<br />
Date: June 14 –16<br />
Check-In Time: Friday, 6 – 8 p.m.<br />
Cost: $60 per person<br />
Location: Camp Small Valley<br />
Family <strong>camp</strong><strong>in</strong>g provides a fantastic opportunity to get away<br />
from <strong>the</strong> hustle and bustle <strong>of</strong> everyday life and spend quality<br />
time with your family <strong>in</strong> a beautiful sett<strong>in</strong>g. With activities available<br />
all weekend and all <strong>of</strong> your food cooked for you, your only<br />
worry is what to do first! Your family can choose to participate <strong>in</strong><br />
<strong>the</strong> activities that we provide or just spend <strong>the</strong> time relax<strong>in</strong>g.<br />
MEALS<br />
Meals are prepared by our<br />
pr<strong>of</strong>essional food service<br />
staff and served cafeteria<br />
style. On Saturday, a hot<br />
meal will be provided. A<br />
breakfast bar is available<br />
<strong>in</strong> <strong>the</strong> morn<strong>in</strong>gs and a<br />
fresh salad bar is available<br />
at lunch and d<strong>in</strong>ner.<br />
On Sunday, a cont<strong>in</strong>ental<br />
breakfast will be served.<br />
LODGING<br />
AND FACILITIES<br />
We <strong>of</strong>fer lodges, cab<strong>in</strong>s and<br />
tents. Most <strong>of</strong> our facilities<br />
do not have runn<strong>in</strong>g water<br />
or bathrooms attached to<br />
<strong>the</strong> unit. Throughout <strong>camp</strong>,<br />
toilets and wash stations<br />
are available as well as<br />
showers. Lodg<strong>in</strong>g will be assigned<br />
appropriately to <strong>the</strong><br />
size <strong>of</strong> <strong>the</strong> family.<br />
ADVENTURE COURSE<br />
DESCRIPTION<br />
ACTIVITIES<br />
• Swimm<strong>in</strong>g<br />
• Geocach<strong>in</strong>g<br />
• Archery<br />
• Nature Hikes<br />
• Arts and Crafts<br />
• Dutch Auction<br />
• Field Games<br />
• Kickball Tournament<br />
• Horseback Rid<strong>in</strong>g*<br />
• Astronomy Programs<br />
• Climb<strong>in</strong>g Tower**<br />
• High Ropes Course**<br />
• Pirate Hunt<br />
*In <strong>in</strong>clement wea<strong>the</strong>r and<br />
extreme heat, horseback<br />
rid<strong>in</strong>g will not be <strong>of</strong>fered.<br />
However, an opportunity to<br />
learn and get up close to<br />
<strong>the</strong> horses will still be available.<br />
Children younger than<br />
9 years old, will be led on a<br />
horse <strong>in</strong> <strong>the</strong> arena.<br />
**Certa<strong>in</strong> elements <strong>of</strong> <strong>the</strong><br />
High Ropes Course are<br />
available for those who are<br />
Juniors or 10 years old and<br />
older. The Climb<strong>in</strong>g Tower<br />
will be available to anyone<br />
5 years old or older.<br />
***All activities still follow<br />
GSUSA guidel<strong>in</strong>es for participation.<br />
SEE PAGES 6-7.<br />
33
TRADING POST<br />
PACKAGES<br />
Whatever your <strong>camp</strong>er needs...<br />
Don’t let your <strong>camp</strong>er fumble with<br />
cash at <strong>camp</strong>! Buy her a Trad<strong>in</strong>g Post<br />
Package! Packages are available <strong>in</strong><br />
$10, $25, $50 or $75 amounts.*<br />
Packages must be purchased two<br />
weeks prior to your <strong>camp</strong>er’s arrival.<br />
Questions call:<br />
1.877.920.1951<br />
* While at <strong>camp</strong>, girls with Trad<strong>in</strong>g Post Packages will be<br />
able to create <strong>the</strong>ir own comb<strong>in</strong>ations <strong>of</strong> <strong>camp</strong> souvenirs up<br />
to <strong>the</strong> dollar amount <strong>of</strong> <strong>the</strong> total purchased package value<br />
you select. Trad<strong>in</strong>g Post Packages are non-refundable. Any<br />
rema<strong>in</strong><strong>in</strong>g balance on <strong>the</strong> package will NOT be refunded.<br />
Please note, we can no longer accept cash or checks<br />
at <strong>the</strong> Trad<strong>in</strong>g Post.<br />
Journals. JEWELRY.<br />
Magnets. CAMP T-SHIRTS.<br />
Bandanas. Stuffed Animals. Keycha<strong>in</strong>s.<br />
Pens. WATER BOTTLES.<br />
HATS.<br />
HEAD<br />
BANDS.<br />
Camp Pillows.
Family Camp Registration Form<br />
Please pr<strong>in</strong>t clearly <strong>in</strong> blue or black <strong>in</strong>k. (An electronic form can be found on our Web site www.gshpa.org.) Please fill <strong>in</strong> all<br />
<strong>in</strong>formation and mail payment <strong>in</strong> full to: GSHPA, Attn: Registrar, 350 Hale Avenue, Harrisburg, PA 17104.<br />
Contact Information<br />
Registered <strong>Girl</strong> Scout’s Name Troop#<br />
Parent 1 Parent 2<br />
Address<br />
City State Zip Code<br />
Daytime Phone ( ) Even<strong>in</strong>g Phone ( )<br />
Email Address<br />
Persons Attend<strong>in</strong>g Family Camp<br />
Name Age M/F GSHPA Registered<br />
(Y/N)<br />
1.<br />
2.<br />
3.<br />
4.<br />
5.<br />
6.<br />
7.<br />
8.<br />
9.<br />
10.<br />
If <strong>the</strong> Program is Full, Please:<br />
Return my registration. Place my family on <strong>the</strong> wait<strong>in</strong>g list.<br />
Payment Information<br />
Attendance Total<br />
How many TOTAL children attend<strong>in</strong>g x $ = $<br />
How many TOTAL adults attend<strong>in</strong>g x $ + $<br />
TOTAL ENCLOSED = $<br />
Payment Type<br />
□ Check Check # Amount Enclosed:<br />
□ Credit Card □ Visa □ MasterCard □ Discover<br />
Account #: CCV (code on back):<br />
Expiration Date: Amount to be Charged:<br />
□ Money Order Money Order #: Amount Enclosed:<br />
I have read and understand <strong>the</strong> registration <strong>in</strong>formation. The <strong>in</strong>formation above is correct and complete to <strong>the</strong> best <strong>of</strong> my knowledge.<br />
Signature Date<br />
Please Pr<strong>in</strong>t Name<br />
Family Camp Registration Rev. 10/2012<br />
35
NEED COOKIES?<br />
FIND US on our free<br />
Cookie Locator Mobile App!<br />
It’s everyone’s favorite time <strong>of</strong> year—<strong>Girl</strong> Scout Cookie time!<br />
Use your smartphone to f<strong>in</strong>d cookie sales <strong>in</strong> your zip code! No<br />
more driv<strong>in</strong>g around town look<strong>in</strong>g for <strong>the</strong> cookies you crave.<br />
The app can be downloaded free by simply<br />
call<strong>in</strong>g **GSCOOKIES (**472665437) from a<br />
mobile phone. The app also is available <strong>in</strong> <strong>the</strong><br />
App Store and Android Market.<br />
For Android & O<strong>the</strong>r<br />
Web Enabled Devices<br />
For iPhone<br />
Cookie Season January 2 - March 17<br />
www.F<strong>in</strong>dCookiesNow.org<br />
NO SMARTPHONE?<br />
Just go to www.gshpa.com and click on Cookie Locator to fi nd cookies fast.
General Camp<strong>in</strong>g Questions<br />
Who is <strong>the</strong> <strong>camp</strong> staff?<br />
Camp staff members are selected for <strong>the</strong>ir<br />
leadership skills, maturity and ability to work<br />
with girls. Tra<strong>in</strong><strong>in</strong>g is provided to each staff<br />
member to empower each girl to learn and enjoy<br />
her <strong>camp</strong> experience. Each <strong>camp</strong> ma<strong>in</strong>ta<strong>in</strong>s<br />
a girl to staff ratio that follows <strong>Girl</strong> Scout standards.<br />
Our staff comes from all over <strong>the</strong> world.<br />
We believe <strong>in</strong> cultural diversity and <strong>the</strong> benefits<br />
<strong>of</strong> expos<strong>in</strong>g o<strong>the</strong>rs to <strong>the</strong>m.<br />
What are your facilities like?<br />
Our sleep<strong>in</strong>g quarters are a comb<strong>in</strong>ation <strong>of</strong><br />
tents, cab<strong>in</strong>s and lodges. Most sleep<strong>in</strong>g units<br />
do not have restrooms attached. There are<br />
toilets/latr<strong>in</strong>es, wash<strong>in</strong>g stations and showers<br />
nearby.<br />
We have a full service d<strong>in</strong><strong>in</strong>g hall that provides<br />
three meals a day. <strong>Girl</strong>s will participate <strong>in</strong> outdoor<br />
cook<strong>in</strong>g for a d<strong>in</strong>ner, pack out lunch and a<br />
breakfast at <strong>the</strong>ir units at least once dur<strong>in</strong>g <strong>the</strong><br />
week.<br />
Where will my <strong>camp</strong>er stay?<br />
Camp is an overnight experience with o<strong>the</strong>r<br />
girls under <strong>the</strong> careful supervision <strong>of</strong> tra<strong>in</strong>ed<br />
<strong>camp</strong> counselors. Our <strong>camp</strong>s are divided <strong>in</strong>to<br />
liv<strong>in</strong>g areas called units. Unit group sizes vary.<br />
Campers are placed <strong>in</strong> units accord<strong>in</strong>g to <strong>the</strong>ir<br />
age. Campers sleep on cots or bunk beds on<br />
mattresses or mattresses on <strong>the</strong> floor. All tents<br />
have cots with mattresses. Counselors sleep <strong>in</strong><br />
<strong>the</strong> same unit but <strong>in</strong> separate sleep<strong>in</strong>g quarters.<br />
FAQS<br />
Will girls earn <strong>Girl</strong> Scout badges and/or patches<br />
while at <strong>camp</strong>?<br />
GSUSA has modified its exist<strong>in</strong>g program to <strong>the</strong><br />
<strong>Girl</strong>s Guide to <strong>Girl</strong> Scout<strong>in</strong>g. Several badges<br />
and patches have been discont<strong>in</strong>ued and now<br />
follow <strong>the</strong> National Pr<strong>of</strong>iciency Badges. Your<br />
<strong>camp</strong>er will earn at least one pr<strong>of</strong>iciency badge<br />
as well as a fun patch.<br />
How do I know what activities my <strong>camp</strong>er will<br />
participate <strong>in</strong>?<br />
You will receive a program form. Sit down with<br />
your <strong>camp</strong>er and work through to identify which<br />
badge she would like to earn. You will be asked<br />
to give your top three choices, and she will<br />
earn one <strong>of</strong> those three. In addition to pick<strong>in</strong>g<br />
her core activities, she will also have <strong>the</strong> opportunity<br />
to choose a few extra activities on a<br />
daily basis.<br />
37
I would like to sign my <strong>camp</strong>er up for horseback<br />
rid<strong>in</strong>g, when will she have <strong>the</strong> opportunity<br />
to do this?<br />
One <strong>of</strong> her two elective times on her schedule<br />
will be dedicated to horseback rid<strong>in</strong>g.<br />
After register<strong>in</strong>g for <strong>camp</strong>, you will be mailed a<br />
detailed pack<strong>in</strong>g list <strong>in</strong> <strong>the</strong> <strong>camp</strong> confirmation<br />
packet. The confirmation packet also <strong>in</strong>cludes<br />
pick up and drop <strong>of</strong>f times, FAQs, Trad<strong>in</strong>g Post<br />
<strong>in</strong>formation, wildlife <strong>in</strong>formation and more.<br />
38<br />
My <strong>camp</strong>er would like to participate <strong>in</strong> horseback<br />
rid<strong>in</strong>g, is <strong>the</strong>re anyth<strong>in</strong>g specific she<br />
needs to know?<br />
Whe<strong>the</strong>r you are attend<strong>in</strong>g Ranch Camp or<br />
Traditional Camp, any girl who participates <strong>in</strong><br />
a horseback rid<strong>in</strong>g activity while at <strong>camp</strong> is<br />
required to wear long pants with smooth soled<br />
boots or shoes that have a heel. Rid<strong>in</strong>g helmets<br />
are a requirement and will be supplied by<br />
<strong>Girl</strong> <strong>Scouts</strong>. If your <strong>camp</strong>er has her own rid<strong>in</strong>g<br />
helmet, it must be ASTM (American Society <strong>of</strong><br />
Test<strong>in</strong>g and Materials) and SEI (Safety Equipment<br />
Institute) certified.<br />
What if <strong>the</strong> wea<strong>the</strong>r isn’t cooperat<strong>in</strong>g when<br />
my <strong>camp</strong>er is scheduled to go horseback rid<strong>in</strong>g?<br />
If <strong>the</strong>re is <strong>in</strong>clement wea<strong>the</strong>r or extreme heat,<br />
we attempt to reschedule your <strong>camp</strong>er for ano<strong>the</strong>r<br />
day. However, if <strong>the</strong> wea<strong>the</strong>r makes rid<strong>in</strong>g<br />
unsafe or impossible, we will still teach her<br />
equ<strong>in</strong>e safety, a groom<strong>in</strong>g session, and give<br />
her an “up close” opportunity with <strong>the</strong> horses.<br />
Refunds will not be issued.<br />
What will my daughter need to br<strong>in</strong>g to<br />
<strong>camp</strong>?<br />
What can we expect to f<strong>in</strong>d <strong>in</strong> <strong>the</strong> Trad<strong>in</strong>g<br />
Post?<br />
We provide various items such as: hooded<br />
sweatshirts, <strong>camp</strong> T-shirt, pens, journals,<br />
stuffed animals and o<strong>the</strong>r material items. We<br />
do not sell food or beverages at our trad<strong>in</strong>g<br />
post. Items vary <strong>in</strong> price from $1-$20.<br />
My child has special needs, how will she be accommodated?<br />
Our <strong>in</strong>clusive environment helps girls <strong>of</strong> all<br />
abilities to live, play and learns <strong>in</strong> a non-competitive<br />
environment. If your child requires a<br />
special diet, special health care or has a men-
tal or emotional disability or o<strong>the</strong>r condition,<br />
you should contact <strong>the</strong> Camp Director prior to<br />
register<strong>in</strong>g your <strong>camp</strong>er. At that time, you can<br />
discuss <strong>the</strong> nature <strong>of</strong> your <strong>camp</strong>er’s needs. It<br />
will <strong>the</strong>n be determ<strong>in</strong>ed if <strong>the</strong> <strong>camp</strong> can provide<br />
support, supervision and necessary accommodations<br />
for your <strong>camp</strong>er to have a safe and<br />
fulfill<strong>in</strong>g <strong>camp</strong><strong>in</strong>g experience. Handicapped<br />
accessible liv<strong>in</strong>g areas are available.<br />
Why aren’t you <strong>of</strong>fer<strong>in</strong>g summer <strong>camp</strong> at<br />
Camp Archbald?<br />
Accord<strong>in</strong>g to our <strong>camp</strong> development plan, we<br />
cannot ensure that Camp Archbald’s d<strong>in</strong><strong>in</strong>g<br />
hall will be completed <strong>in</strong> time. But don’t worry,<br />
Camp Archbald will be host<strong>in</strong>g summer <strong>camp</strong><br />
aga<strong>in</strong> <strong>in</strong> 2014!<br />
Registration Questions<br />
When can we register?<br />
Registration for 2013 Sleep Away Camp opens<br />
January 1, 2013. Registrations received before<br />
<strong>the</strong> open<strong>in</strong>g date will be processed as if <strong>the</strong>y<br />
were received on January 1, 2013.<br />
Where do I send <strong>the</strong> form?<br />
Mail your registration form(s) to: GSHPA, Attn:<br />
Sleep Away Camp Registrar, 350 Hale Avenue,<br />
Harrisburg, PA 17104. Forms can also be<br />
downloaded <strong>in</strong> English and Spanish from our<br />
website, www.gshpa.org.<br />
Can my <strong>camp</strong>er attend with a buddy?<br />
Yes! Your <strong>camp</strong>er can request ano<strong>the</strong>r <strong>camp</strong>er<br />
as a buddy. On <strong>the</strong> form, you will f<strong>in</strong>d <strong>the</strong> buddy<br />
request space. Please provide her name. Make<br />
sure her buddy writes your <strong>camp</strong>er’s name as<br />
well. Buddies must be participat<strong>in</strong>g <strong>in</strong> Traditional<br />
Camp or Ranch Camp toge<strong>the</strong>r. Buddy<br />
requests must also be <strong>in</strong> <strong>the</strong> same grade level.<br />
Multiple buddies cannot be guaranteed placement<br />
toge<strong>the</strong>r. A buddy request must be mutual<br />
or <strong>the</strong> request will not be honored.<br />
If I am sign<strong>in</strong>g my <strong>camp</strong>er up for multiple<br />
weeks, can she stay over on <strong>the</strong> weekends?<br />
Unfortunately, she cannot. We have different<br />
programs and tra<strong>in</strong><strong>in</strong>gs that overlap dur<strong>in</strong>g <strong>the</strong><br />
weekends.<br />
39
Can my child still go to <strong>camp</strong> even though she<br />
is not a registered <strong>Girl</strong> Scout?<br />
Yes! <strong>Girl</strong> Scout <strong>camp</strong> is for all girls! For non-<br />
<strong>Girl</strong> <strong>Scouts</strong> <strong>the</strong>re is an additional $12 nonrefundable<br />
fee which must be <strong>in</strong>cluded with <strong>the</strong><br />
deposit.<br />
When is <strong>the</strong> balance for our Sleep Away Camp<br />
fee due?<br />
The balance is due June 1, 2013. All <strong>camp</strong>ers<br />
register<strong>in</strong>g after June 1, 2013 must pay <strong>in</strong> full.<br />
Is f<strong>in</strong>ancial assistance available?<br />
Yes! F<strong>in</strong>ancial assistance (<strong>camp</strong>ership) is<br />
available for girls registered with <strong>Girl</strong> <strong>Scouts</strong><br />
<strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong> who demonstrate<br />
<strong>the</strong> need for f<strong>in</strong>ancial assistance. Donations<br />
from various sources help support <strong>the</strong> <strong>camp</strong>ership<br />
fund. A f<strong>in</strong>ancial assistance form must<br />
be submitted with your <strong>camp</strong>er’s registration.<br />
Applicants will be notified as to whe<strong>the</strong>r or not<br />
<strong>the</strong>y qualify for f<strong>in</strong>ancial assistance and will be<br />
expected to pay any balance due by June 1,<br />
2013.<br />
Confirmation Questions<br />
How and when will we know if we are <strong>of</strong>ficially<br />
registered for <strong>camp</strong>?<br />
Confirmations, along with your statement <strong>of</strong><br />
balance will be sent approximately three weeks<br />
after your registration is received.<br />
What will <strong>the</strong> confirmation packet conta<strong>in</strong>?<br />
The confirmation packet will conta<strong>in</strong> <strong>in</strong>formation<br />
regard<strong>in</strong>g pack<strong>in</strong>g lists, drop <strong>of</strong>f and pick up<br />
times, wildlife, trad<strong>in</strong>g post, check <strong>in</strong> and checkout<br />
procedures, kapers, food, lodg<strong>in</strong>g, home<br />
sickness, behaviors and expectations, <strong>camp</strong><br />
staff, general questions, directions to <strong>camp</strong> and<br />
more! You will also receive forms that must be<br />
filled out and brought with you to <strong>camp</strong>. Please<br />
do not mail <strong>the</strong> confirmation packet forms to <strong>the</strong><br />
Harrisburg <strong>of</strong>fice.<br />
Cancellations and Refunds<br />
Are deposits transferrable?<br />
Deposits may be transferred to a different week<br />
for <strong>the</strong> same girl. Deposits are not transferrable<br />
between girls.<br />
Are refunds given?<br />
A full refund, less <strong>the</strong> $50 non-refundable deposit,<br />
will be processed upon written request if:<br />
• <strong>the</strong> request is made three weeks prior<br />
to <strong>the</strong> start <strong>of</strong> <strong>camp</strong><br />
• cancellation is due to illness and a<br />
physician’s statement <strong>of</strong> <strong>in</strong>ability to<br />
participate is submitted with<strong>in</strong> two weeks<br />
<strong>of</strong> <strong>the</strong> scheduled attendance<br />
• cancellation is due to serious illness or<br />
death <strong>in</strong> <strong>the</strong> family<br />
Refunds will NOT be issued for no-shows.<br />
40
Swimm<strong>in</strong>g<br />
Geocach<strong>in</strong>g<br />
Archery<br />
Climb<strong>in</strong>g Tower<br />
Nature Hikes<br />
Arts and Crafts<br />
Field Games<br />
Horseback Rid<strong>in</strong>g<br />
Astronomy Programs<br />
High Rope Elements<br />
The Climb<strong>in</strong>g Tower is challeng<strong>in</strong>g and extremely<br />
fun. And just one <strong>of</strong> <strong>the</strong> <strong>Girl</strong> Scout experiences<br />
that help you build confidence and realize you can<br />
handle anyth<strong>in</strong>g life throws at you. Learn more at<br />
www.gshpa.org/<strong>camp</strong>/adventurecourse.html.
<strong>Girl</strong> Membership<br />
Jo<strong>in</strong> <strong>the</strong> global network <strong>of</strong> 3.2 million <strong>Girl</strong> <strong>Scouts</strong><br />
Membership Year through 9/30/20<br />
Check one: New Member Renew<strong>in</strong>g Member GSUSA ID (if known)<br />
Name: First Middle Last<br />
Address Apartment<br />
( )<br />
City State / Zip Code <strong>Girl</strong> Home Phone<br />
( )<br />
<strong>Girl</strong> Cell Phone (only if 13 and older) <strong>Girl</strong> E-Mail Address (only if 13 or older) I wish to opt out: Texts E-mails<br />
<strong>Girl</strong> <strong>Scouts</strong> respects and welcomes people from all backgrounds and abilities. By complet<strong>in</strong>g <strong>the</strong> follow<strong>in</strong>g <strong>in</strong>formation (as def<strong>in</strong>ed by <strong>the</strong><br />
US Census), you ensure support and fund<strong>in</strong>g for girls <strong>in</strong> your community. Hispanic/Lat<strong>in</strong>a is def<strong>in</strong>ed as an ethnicity, not a race, <strong>the</strong>refore is<br />
reported separately. This <strong>in</strong>formation is used for statistical purposes only.<br />
Date <strong>of</strong> birth: (mm/dd/yyyy) / / # <strong>of</strong> years as a <strong>Girl</strong> Scout: School grade:<br />
Name <strong>of</strong> school:<br />
Custodial care:<br />
Both Parents<br />
Mo<strong>the</strong>r/Guardian Only<br />
Fa<strong>the</strong>r/Guardian Only<br />
O<strong>the</strong>r<br />
Address is same as girl<br />
She is: (check all that apply)<br />
American Indian or Alaskan Native<br />
Asian<br />
Black or African American<br />
Hawaiian or Pacific Islander<br />
White<br />
O<strong>the</strong>r (please specify)<br />
I choose not to share at this time<br />
She is Hispanic or Lat<strong>in</strong>a:<br />
Yes<br />
No<br />
I choose not to share<br />
at this time<br />
Parent/Guardian (1) First Name Middle Last<br />
Address<br />
Household <strong>in</strong>come:<br />
$0–$14,999<br />
$15,000–$34,999<br />
$35,000–$49,999<br />
$50,000–$74,999<br />
$75,000–$99,999<br />
$100,000 or more<br />
I choose not to share<br />
at this time<br />
Employer Occupation<br />
( ) ( )<br />
Home Phone Bus<strong>in</strong>ess Phone<br />
( )<br />
Cell Phone E-mail Address I wish to opt out: Texts E-mails<br />
Address is same as girl<br />
Parent/Guardian (2) First Name Middle Last<br />
Address<br />
Employer Occupation<br />
( ) ( )<br />
Home Phone Bus<strong>in</strong>ess Phone<br />
( )<br />
Cell Phone E-mail Address I wish to opt out: Texts E-mails<br />
Media Permission<br />
When participat<strong>in</strong>g <strong>in</strong> <strong>Girl</strong> Scout<br />
activities I may be photographed<br />
for pr<strong>in</strong>t, videotaped, or electronically<br />
imaged. Images may be used <strong>in</strong><br />
promotional materials, news releases,<br />
and o<strong>the</strong>r published formats for ei<strong>the</strong>r<br />
<strong>the</strong> local <strong>Girl</strong> Scout Councils or <strong>Girl</strong><br />
<strong>Scouts</strong> <strong>of</strong> <strong>the</strong> USA. The images will be<br />
<strong>the</strong> sole property <strong>of</strong> ei<strong>the</strong>r <strong>the</strong> local <strong>Girl</strong><br />
Scout Council or <strong>Girl</strong> <strong>Scouts</strong> <strong>of</strong> <strong>the</strong> USA.<br />
I wish to opt out at this time.<br />
The <strong>Girl</strong> Scout Law<br />
I will do my best to be<br />
honest and fair,<br />
friendly and helpful,<br />
considerate and car<strong>in</strong>g,<br />
courageous and strong, and<br />
responsible for what I say and do,<br />
and to<br />
respect myself and o<strong>the</strong>rs,<br />
respect authority,<br />
use resources wisely,<br />
make <strong>the</strong> world a better place, and<br />
be a sister to every <strong>Girl</strong> Scout.<br />
The <strong>Girl</strong> Scout Promise<br />
On my honor, I will try:<br />
To serve God and my country,<br />
To help people at all times,<br />
And to live by <strong>the</strong> <strong>Girl</strong> Scout Law.<br />
I/We acknowledge that <strong>the</strong> registrant will make <strong>the</strong><br />
<strong>Girl</strong> Scout Promise and accept <strong>the</strong> <strong>Girl</strong> Scout Law.<br />
The registrant has permission to jo<strong>in</strong> <strong>Girl</strong> <strong>Scouts</strong>.<br />
Signature <strong>of</strong> Parent/Guardian Date<br />
Signature <strong>of</strong> Parent/Guardian Date<br />
Council Code: Service Unit/Team: Group/Troop:<br />
PATHWAY OF ENTRY: Camp Event Series Travel Troop Virtual<br />
GIRL SCOUT MISSION<br />
<strong>Girl</strong> Scout<strong>in</strong>g builds girls <strong>of</strong> courage,<br />
confidence, and character, who<br />
make <strong>the</strong> world a better place.<br />
FUN WAYS TO PARTICIPATE:<br />
(check all that <strong>in</strong>terest you)<br />
Camp: Connect with nature.<br />
Choose a <strong>camp</strong> by day or overnight.<br />
Events: Focus on half or full day<br />
events to share your passions.<br />
Series: Explore your <strong>in</strong>terests<br />
over a few sessions <strong>in</strong> a way that fits<br />
your schedule.<br />
Travel: Pack your bags. Travel<br />
across town or around <strong>the</strong> world!<br />
Troop: Have fun on a regular<br />
basis with your <strong>Girl</strong> Scout sisters.<br />
Virtual: Interact virtually with<br />
<strong>Girl</strong> <strong>Scouts</strong> everywhere.<br />
YES! I would like to make a<br />
donation today that directly<br />
benefits girls <strong>in</strong> our area. Enclosed<br />
is my tax-deductible donation<br />
<strong>in</strong> <strong>the</strong> amount <strong>of</strong>: (check one)<br />
$500 $250 $150<br />
$100 $50 $25<br />
O<strong>the</strong>r $<br />
PAYMENT INFORMATION:<br />
Membership Fee: $ 12<br />
Donation: $<br />
Total Attached: $<br />
Cash Check*<br />
Amex Discover<br />
Visa MasterCard<br />
O<strong>the</strong>r<br />
Name on Credit Card<br />
Credit Card #<br />
Expiration Date<br />
Signature<br />
Date<br />
*Make checks payable to <strong>Girl</strong> <strong>Scouts</strong><br />
THANK YOU FOR<br />
SUPPORTING GIRL SCOUTS!<br />
Learn more about <strong>Girl</strong> <strong>Scouts</strong> at<br />
www.girlscouts.org.<br />
Return this registration form,<br />
along with GSUSA membership<br />
fees to your local council. Fees<br />
are non-refundable or transferable<br />
to ano<strong>the</strong>r person.<br />
OFFICE<br />
USE<br />
PERMISSION<br />
PARENT/GUARDIAN INFORMATION DEMOGRAPHICS GIRL INFORMATION<br />
42
DAY & EVENING<br />
CAMP OPPORTUNITIES<br />
Day and Even<strong>in</strong>g <strong>camp</strong> opportunities<br />
will be available aga<strong>in</strong><br />
this summer! They are organized<br />
by local Service Units <strong>in</strong><br />
our Council, not by Council staff.<br />
Look for a page on our website<br />
soon, www.gshpa.org, list<strong>in</strong>g<br />
<strong>in</strong>formation Service Units<br />
provide about upcom<strong>in</strong>g<br />
Day and Even<strong>in</strong>g <strong>camp</strong>s.
Non-Pr<strong>of</strong>t Org.<br />
U.S. Postage<br />
PAID<br />
Harrisburg, PA<br />
Permit No. 64<br />
<strong>Girl</strong> <strong>Scouts</strong> <strong>in</strong> <strong>the</strong> <strong>Heart</strong> <strong>of</strong> <strong>Pennsylvania</strong><br />
350 Hale Avenue<br />
Harrisburg, PA 17104<br />
800.692.7816<br />
www.gshpa.org | general@gshpa.org<br />
Create a last<strong>in</strong>g change <strong>in</strong> your community.<br />
Go Gold at www.gshpa.org/girls/goldaward.html