Registration begins September 15!

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Events (in order by date) ..................................... 3-6

Day/Twilight Camp Training .................................... 7

Girl Scout Scholarship Program ............................ 8

Preferred Partner Information ............................... 8

Event Registration Information and Form .............. 9-10

Coming Soon Events ............................................................ 11

Service Center addresses .................................................12

Program Guide: Fall EditionQuarterly Publication • Girl Scouts of Northern Illinois • Issue: 2014.2

Event Supervisors Needed! For many of our events, we need one registered Girl Scout volunteer (registered adult who has passed a background check) per event to:

• Check in participants. • Provide overall supervision of girls during the event, with support from troop adults in attendance. • Provide assistance to facilitators as needed, with support from troop adults in attendance. • Distribute and collect event evaluations. • After event, return completed evaluations and check-in list to the Elgin Service Center. • Check out participants, ensuring all girls are signed out by approved adult.

If interested in this position, please contact the “Staff Contact” listed for the event for which you are available to help. Event supervisors will receive a $10 Event Voucher that may be used to register their daughter for a future council-sponsored program event held during the 2014-2015 membership year.

• Pam Schnecke Director Girl Leadership Experience Elgin, Ext. 7140 pschnecke@girlscoutsni.org

• Kathleen Baylis Girl Leadership Specialist Rockford, Ext. 7156 kbaylis@girlscoutsni.org

• Felecia Dupczak Girl Leadership Specialist, Camp Pathway Sugar Grove, Ext. 7161 fdupczak@girlscoutsni.org

• Shannan Harley Girl Leadership Specialist Sugar Grove, Ext. 7121 sharley@girlscoutsni.org

• Stephanie Sturm Girl Leadership Specialist, Outreach Rockford, Ext. 7203 ssturm@girlscoutsni.org

• Katie Sullivan Girl Leadership Specialist, STEM Elgin, Ext. 7137 ksullivan@girlscoutsni.org

• Katie Wolfgram Girl Leadership Specialist Freeport, Ext. 7197 kwolfgram@girlscoutsni.org

• Emily Hall Girl Leadership Assistant and Campsite Coordinator Elgin, Ext. 7132 sitecoordinator@girlscoutsni.org

Need help registering for a program? Call 1-800-242-5591 for the Registration Help Desk, Ext. 7110

GSNI Program Department

Service Centers • Elgin: 847-741-5521 • Freeport: 815-235-8777 • Rock Falls: 815-997-5100 • Rockford: 815-962-5591 • Sugar Grove: 630-897-1565

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Girl Scout Silver Award Workshop Code: F14100 Come to this informational workshop to learn more about the Silver Award and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout CadettesDate: Saturday, October 4Time: 9:30—11:30 a.m.Location: St. Luke’s Lutheran Church 63 Fernwood Rd., MontgomeryFee: $4 per girl / $4 per adultRegistration: Ends September 25Staff Contact: Kathleen Baylis, Ext. 7156

Girl Scout Silver Award Workshop Code: F14101 Come to this informational workshop to learn more about the Silver Award and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout CadettesDate: Saturday, October 5Time: 1–3 p.m.Location: Ebenezer Church 309 E. Park, MorrisonFee: $4 per girl / $4 per adultRegistration: Ends September 25Staff Contact: Kathleen Baylis, Ext. 7156

Girl Scout Gold Award Workshop Code: F14102 Learn the ins and outs of the Gold Award process, the new GoGold App and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout Seniors and AmbassadorsDate: Sunday, October 5Time: 1–3 p.m.Location: Ebenezer Church 309 E. Park, MorrisonFee: $4 per girl / $4 per adultRegistration: Ends September 25Staff Contact: Kathleen Baylis, Ext. 7156

Program Aide Basic Training Award: Cadette Program Aide AwardCode: F14103Calling all teen leaders. This basic leadership training prepares you to work with younger Girl Scouts in a day/twilight camp setting, at service unit events, council events, or other troop/group activities. In this training you will develop your teaching and communication skills. If you are looking to expand your leadership skills and love to learn and teach songs, games, and other activities, this is the program for you!

Who: Girl Scout Cadettes Date: Monday, October 13Time: 9 a.m.—3 p.m.Location: Sugar Grove Service Center 200 New Bond St., Sugar GroveFee: $7 per girlRegistration: Ends October 8Staff Contact: Shannan Harley, Ext. 7121NOTE: Girls need to bring a sack lunch.

Camp Dean Explorers Focus: Camp Code: F14104Explore the world of camp with GSNI. Try your hand at several camp activities while spending time at camp with your family or troop. Activities may include archery, fishing, crate stacking, a scavenger hunt, cardboard boat races, a craft, and a cook-out lunch.

Who: All Girl Scouts and their familiesDate: Saturday, October 25Time: 10 a.m.–3 p.m.Location: Camp Dean 46W253 Camp Dean Rd., Big RockFee: $15 per youth / $5 per adultIncludes: Lunch for all participants and a patch for girls only.Registration: Ends October 8Staff Contact: Felecia Dupczak, Ext. 7161

NOTE: Activities available will depend on the age of the participant.

Fall 2014 Programs

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Save the date(s)!April 18: Camp Far Horizon Explorers

May 2: Mary Ann Beebe Center Explorers

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Girl Scout Gold Award Workshop Code: F14105Learn the ins and outs of the Gold Award process, the new GoGold App and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout Seniors and AmbassadorsDate: Tuesday, October 28Time: 6–8 p.m.Location: Elgin Service Center 12N124 Coombs Rd., Elgin Fee: $4 per girl / $4 per adultRegistration: Ends October 15Staff Contact: Kathleen Baylis, Ext. 7156

Camp McCormick Explorers Focus: Camp Code: F14106Explore the world of camp with GSNI. Try your hand at several camp activities while spending time at camp with your family or troop. Activities may include archery, crate stacking, a scavenger hunt, a craft, and a cook-out lunch.

Who: All Girl Scouts and their familiesDate: Saturday, November 1Time: 10 a.m.–3 p.m.Location: Camp McCormick 9995 N. Girl Scout Rd., Stillman ValleyFee: $15 per youth / $5 per adultIncludes: Lunch for all participants and a patch for girls only.Registration: Ends October 15Staff Contact: Felecia Dupczak, Ext. 7161NOTE: Activities available will depend on the age of the participant.

Girl Scout Silver Award Workshop Code: F14118Come to this informational workshop to learn more about the Silver Award and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout CadettesDate: Saturday, November 1Time: 9–11 a.m.Location: Freeport First Free Methodist Church 2157 W. Cardinal Dr., FreeportFee: $4 per girl / $4 per adultRegistration: Ends October 22Staff Contact: Kathleen Baylis, Ext. 7156

Girl Scout Gold Award Workshop Code: FI4119Learn the ins and outs of the Gold Award process, the new GoGold App, and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout Seniors and AmbassadorsDate: Saturday, November 1Time: 9–11 a.m.Location: Freeport First Free Methodist Church 2157 W. Cardinal Dr., FreeportFee: $4 per girl / $4 per adultRegistration: Ends October 22Staff Contact: Kathleen Baylis, Ext. 7156

Girl Scout Gold Award Workshop Code: F14107Learn the ins and outs of the Gold Award process, the new GoGold App, and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout Seniors and AmbassadorsDate: Monday, November 3Time: 6–8 p.m.Location: Sugar Grove Service Center 200 New Bond St., Sugar GroveFee: $4 per girl / $4 per adultRegistration: Ends October 22Staff Contact: Kathleen Baylis, Ext. 7156

Girl Scout Silver Award Workshop Code: F14108 Come to this informational workshop to learn more about the Silver Award and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout CadettesDate: Wednesday, November 5Time: 6–8 p.m.Location: Elgin Service Center 12N124 Coombs Rd., ElginFee: $4 per girl / $4 per adultRegistration: Ends October 22Staff Contact: Kathleen Baylis, Ext. 7156

Amazing Adventure at Rush-Copley Journey: Wonders of Water, Get Moving, Girltopia, Mission Sisterhood, Bliss: Live it Give it / Badge: Athlete Legacy, My Best Elf Self, Staying Fit Code: F14109

Preferred PartnerGSNI

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Challenge yourself and your team to an adventure at Rush-Copley Healthplex. Move through different activities and test your knowledge and skills in a friendly competition throughout the building. So bring your friends and climb a wall, splash in the pool and discover the confidence of trying new things.

Who: Girl Scout Brownies, Juniors, Cadettes, Seniors and AmbassadorsDate: Saturday, November 8Time: 6–11 p.m.Location: Rush-Copley Healthplex 1900 Ogden Ave., AuroraFee: $24 per girl / $5 per adult Includes: A patch and a snackRegistration: Ends October 22Staff Contact: Shannan Harley, Ext. 7121NOTE: A signed waiver is needed.

Girl Scout Overnight at DuPage Children’s Museum Code: F14117 Join us for a Pajama Party at the DuPage Children’s Museum! We will explore the museum and try special activities along the WOW! Journey, all before sleeping in museum exhibit neighborhoods! A healthy bedtime snack and breakfast will be served.

Who: Girl Scout BrowniesDate: Friday, November 14 –Saturday, November 15Time: 7 p.m. Friday– 8 a.m. Saturday Location: DuPage Children’s Museum 301 N. Washington St., NapervilleFee: $32 per girl / $22 per adultRegistration: Ends October 27Staff Contact: Katie Sullivan, Ext. 7137

Program Aide Basic Training Award: Cadette PA Award Code: F14110 Calling all teen leaders. This basic leadership training prepares you to work with younger Girl Scouts in a day/twilight camp setting, at service unit events, council events, or other troop/group activities. In this training you will develop your teaching and communication skills. If you are looking to expand your leadership skills and love to learn and teach songs, games, and other activities, this is the program for you!

Who: Girl Scout CadettesDate: Saturday, November 15Time: 9 a.m.–3 p.m. Location: Elgin Service Center 12N124 Coombs Rd., ElginFee: $7 per girlRegistration: Ends November 5Staff Contact: Shannan Harley, Ext. 7121NOTE: Girls need to bring a sack lunch.

Girl Scout Silver Award Workshop Code: F14111

Come to this informational workshop to learn more about the Silver Award and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout CadettesDate: Saturday, November 15Time: 1–3 p.m.Location: Rockford Service Center 2820 McFarland Rd., RockfordFee: $4 per girl / $4 per adultRegistration: Ends October 29Staff Contact: Kathleen Baylis, Ext. 7156

Girl Scout Gold Award Workshop Code: F14112 Learn the ins and outs of the Gold Award process, the new GoGold App, and have your questions answered. Troop leaders and parents are encouraged to attend. Registration is required.

Who: Girl Scout Seniors and AmbassadorsDate: Saturday, November 15Time: 9:30–11:30 a.m.Location: Rockford Service Center 2820 McFarland Rd., RockfordFee: $4 per girl / $4 per adultRegistration: Ends October 29Staff Contact: Kathleen Baylis, Ext. 7156

Program Aide Basic Training Code: F14113 Calling all teen leaders. This basic leadership training prepares you to work with younger Girl Scouts in a day/twilight camp setting, at service unit events, council events, or other troop/group activities. In this training you will develop your teaching and communication skills. If you are looking to expand your leadership skills and love to learn and teach songs, games, and other activities, this is the program for you!

Who: Girl Scout CadettesDate: Saturday, November 22Time: 9 a.m.–3 p.m.Location: Sterling Public Library 102 West Third St., SterlingFee: $7 per girlRegistration: Ends November 12Staff Contact: Shannan Harley, Ext. 7121NOTE: Girls need to bring a sack lunch.

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Build Your STEM! Focus: STEM Code: F14114 Let’s learn how to build like Structural Engineers! Come to the Elgin Service Center and learn the steps that are needed to build a structure. When it is time to build a prototype, you will use GSNI’s new 3Doodler’s to create a 3D print of your structure. After this session, you will have the necessary knowledge of what it takes to be a structural engineer!

Who: Girl Scout Cadettes, Seniors and AmbassadorsDate: Saturday, January 24Time: 1–4 p.m.Location: Elgin Service Center 12N124 Coombs Rd., ElginFee: $20 per girlIncludes: Fun patchRegistration: Ends January 9, 2015Staff Contact: Katie Sullivan, Ext. 7137

Elf Self Yoga Focus: Healthy Living Code: F14115Come find your best Brownie Elf Self as you stretch your way to being the very best you can be with Yoga from the Heart instructor Nancy May. It’ll leave you saying WHEEEE!

Who: Girl Scout BrowniesDate: Tuesday, February 17 Time: 4:15–5:30 p.m.Location: Elgin Service Center 12N124 Coombs Rd., Elgin Fee: $10 per girl Registration: Ends February 6Staff Contact: Katie Sullivan, Ext. 7137

World Thinking Day Hostess Gather your troop or group and be part of a World Thinking Day event. Select a WAGGGS country, research the country, its culture, and Girl Guides/Scouts in that country. Then set up a table at Northland Mall in Sterling on February 21 to share what you have learned with other Girl Scouts and the general public.

Who: Girl Scout Brownies, Juniors, Cadettes, Seniors, and Ambassdors Date: Saturday, Feburary 21 Time: 1–4 p.m.Location: Northland Mall 2900 E. Lincolnway (US Rt. 2), Sterling Fee: $6 per girl Includes: WAGGGS patch, fun patch, pin, and “passport” Registration: See NOTE (continued above)Staff Contact: Katie Wolfgram, 7197

NOTE: To register for World Thinking Day Hostess , contact Carolyn Colwell at carolync0307@gmail.com or 815-440-6396 to select a country and obtain additional details about this special event. The deadline for choosing a country is December 5.

World Thinking Day Join your Girl Scout sisters as you take a trip around the world celebrating World Thinking Day 2015 at Northland Mall in Sterling. Have your passport stamped by Country Hostesses representing WAGGGS countries from all over and listen as they share what they have learned about the country they represent.

Who: All Girl Scouts and their familiesDate: Saturday, Feburary 21 Time: 1–4 p.m.Location: Northland Mall 2900 E. Lincolnway (US Rt. 2), Sterling Fee: $4 per girl Includes: Passport and fun patch. Register by January 28 to receive a special pin.Registration: See NOTE belowStaff Contact: Katie Wolfgram, Ext. 7197

NOTE: To register, contact Carolyn Colwell at carolync0307@gmail.com or 815-440-6396. The registration deadline is January 28, 2015.

AMAZING ZenFocus: Healthy Living Code: F14116Life can be crazy between school, sports, friends, and more. Sometimes you just need to find your inner Zen. Come unplug and unwind as Yoga from the Heart instructor, Nancy May, helps you find calm through yoga.

Who: Girl Scout CadettesDate: Tuesday, March 17Time: 4:15–5:45 p.m.Location: Elgin Service Center 12N124 Coombs Rd., ElginFee: $10 per girlRegistration: Ends March 3Staff Contact: Katie Sullivan, Ext. 7137

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Code: F14200 Who: Girl Scout AdultsDate: Thursday, January 15 Time: 6:30–8:30 p.m.Location: Sugar Grove Service Center 200 New Bond St., Sugar GroveFee: No Fee per adult Includes: Director Manual and Camp Resources (One per camp)Registration: Ends January 12Staff Contact: Felecia Dupczak, Ext. 7161

Code: F14201 Who: Girl Scout AdultsDate: Tuesday, January 20 Time: 6:30–8:30 p.m.Location: Elgin Service Center 12N124 Coombs Rd., ElginFee: No Fee per adult Includes: Director Manual and Camp Resources (One per camp)Registration: Ends January 12Staff Contact: Felecia Dupczak, Ext. 7161

Code: F14202 Who: Girl Scout AdultsDate: Wednesday, January 21 Time: 6:30–8:30 p.m.Location: Rockford Service Center 2820 McFarland Rd., RockfordFee: No Fee per adult Includes: Director Manual and Camp Resources (One per camp)Registration: Ends January 12Staff Contact: Felecia Dupczak, Ext. 7161

Code: F14203 Who: Girl Scout AdultsDate: Wednesday, February 18 Time: 6:30–8:30 p.m.Location: WebinarFee: No Fee per adult Includes: Director Manual and Camp Resources (One per camp)Registration: Ends February 11Staff Contact: Felecia Dupczak, Ext. 7161

Day/Twilight Camp Training Are you new to a Day/Twilight Camp Committee? Are you interested in learning what it takes to hold a council-sponsored Day/Twilight Camp? Attend this training and receive your Day/Twilight Camp Manual, helpful resources, and other information as you begin to develop your Day/Twilight Camp for 2015! This training is open to new and returning committee members. Returning members are not required to attend.

Need help registering?You can contact the Registration Help Desk byPhone: 847-741-5521, Ext. 7110

Email: registration@girlscoutsni.orgFax: 847-264-5554

Registration Help Desk Hours: Monday–Friday: 8 a.m.–7 p.m.Saturday: 9-12 NoonTimes are subject to change based on meetings, weather or other circumstances, and will be posted on the Online Registration Portal homepage if there is a change.

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Girl Scout Scholarship ProgramFor Graduating Girl Scout Ambassadors

Did you know that Girl Scouts of Northern Illinois has a scholarship program that helps girl members fund their education beyond high school?

While your girls may be too young to benefit now, we want girls and parents to be aware of the many benefits staying in Girl Scouting provides—the scholarship program being just one of them.

Girl Scouts of Northern Illinois recognizes the importance of education and training as a necessary preparation for adulthood in our increasingly complex society. To help young women further their education and develop skills in their chosen field, GSNI currently offers two types of scholarships: the Girl Scout Gold Award Scholarship and the Girl Scout Ambassador Scholarship.

• Through an application process that includes specific requirements and activities, GSNI awards scholarships to Girl Scout Ambassadors who are graduating from high school. Recipients must be registered members of GSNI and be actively involved in Girl Scouts during their high school years, including participation in both product programs.

• The Girl Scout Gold Award Scholarship is awarded to Girl Scout Ambassadors who are graduating high school and have earned their Girl Scout Gold Award. Recipients must be registered members of GSNI, actively involved in Girl Scouts during their high school years, including participation in both product programs and have earned their Girl Scout Gold Award by March 13, 2015.

GSNI Ambassador and GS Gold Award guidelines and applications will be available on our website at www.girlscoutsni.org/event on January 16, 2015. The application deadline is March 13, 2015.

Community PartnersPreferred Partners are businesses, organizations, and experts in your community offering quality events and activities for girls. Preferred Partner programming is aligned specifically to the Girl Scout Leadership Experience, and offered only to Girl Scouts. Preferred Partners understand the Girl Scout Leadership Experience, and fully support the leadership keys, processes and outcomes. Opportunities are designed with Girl Scout Journeys and badges in mind.

Community ServiceGirls want to know they can make a difference in the world around them! Girl Scouts often do both community service and Take Action projects. Both types of projects help communities in different ways. To complete a Journey, girls need to do a Take Action project (which some organizations call service learning).

Community OfferingsCommunity Offerings are events or activities that are open to the public, or provide a discount or special offer to Girl Scout members. These events enhance the Girl Scout experience, but are not specifically aligned to the GSLE (Girl Scout Leadership Experience). GSNI is not responsible for the content of these opportunities, but provides information about these offerings to our members as a service.

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Girl Scouts of Northern Illinois (GSNI)2014-15 Event Registration Information

Unless otherwise noted, registration for events in this booklet begins September 15, 2014.

HOW TO REGISTER: Unless otherwise noted, registration for events is open for both troops/groups and individual registration. NOTE: Permission slips will be sent with the confirmation; however, the activity permission slip found on the GSNI website may be used.

Council events are conducted by a variety of sources— outside resources, volunteers, and/or council staff. In order to ensure girl/adult ratios are met, we ask the following:

• If registering as an individual, check the program description to determine if adult chaperones are required to accompany girl participants.

• If registering as a troop/group (even if leaders ask parents to register the girls individually), proper girl/adult ratio must be met.

• Due to space limitations, we ask that troops meet but do not exceed girl/adult ratios.

In all cases, each girl participant must turn in a completed permission slip signed by their parent/guardian. Check the individual program description to determine if adult chaperones are required to pay. Adult chaperones are required to register regardless of fee.

To determine the proper girl/adult ratio, see Volunteer Essentials, Chapter 4: Safety Wise. Volunteer Essentials is available on the GSNI website.

Troop registrations will keep all your girls together—all will get in or not get in. If you don’t want any girls left out, troop registration is recommended.

Registrations and payment may be: • Completed online at www.girlscoutsni.org unless

otherwise noted.

• Mailed to the Elgin Service Center.

• Hand delivered to any of GSNI’s service centers during regular business hours. (GSNI is not responsible for forms dropped off when a center is closed.)

• Registrations must be received by the deadline date.

NOTE: Registrations are not accepted over the phone and no spots can be held without a paid registration.

However you choose to register, you must not register prior to the beginning registration date (September 15, 2014).

Registrations postmarked, dropped off, or submitted online prior to the beginning registration date will receive a two-day penalty. (Held for two days after registration opens.)

Registrations received after the close of registration will be accepted ONLY at the discretion of the director of girl leadership or her designee. Please CALL the girl leadershipassistant at Ext. 7132 for possible availability after the registration deadline has passed.

PROGRAM CANCELATIONS: If a program does not meet the minimum registration as of the deadline date, GSNI reserves the right to cancel the program. Notice will be made by email and/or phone.

PAYMENT: Payment in full MUST be submitted with the registration. Cash, check, money order, VISA, MasterCard, Discover and/or “Cookie Dough/S’more Dough” are accepted. Online registration requires credit card payment. “Cookie Dough/S’more Dough” cannot be used with online payment. “Cookie Dough/S’more Dough” must be received prior to the expiration date listed on the coupon and can only be used for the girl’s fees.

CONFIRMATION: A registration confirmation will be emailed to all participants shortly after the closing date of registration. If you have not received a confirmation five (5) days prior to the event, please call the staff contact person listed in the program description.

FINANCIAL ASSISTANCE: A limited amount of financial assistance is available. Girl participants may request up to $15 twice per membership year for program event financial assistance. Requests are considered by the membership year the event is being held, not date submitted. If requesting financial assistance for a program event, submit a completed financial assistance request WITH the event registration form. The financial assistance form may be found on the GSNI website or contact the girl leadership assistant at Ext. 7132.

REFUND PROCEDURE: • A full refund of the fee (including deposit) is made ONLY if

a participant can’t be placed in the program of her choice or if it is necessary for GSNI to cancel a program opportunity.

• A partial refund, cost of the event minus a $5 per person processing fee or 1/2 the event fee for events costing less than $10, will be given if requested in writing prior to the event deadline. When requesting a refund, include the following information in an email or letter to the girl leadership assistant: name and address of participant, name and date of event, and reason for request.

• No refunds will be given after the event registration deadline.

If a Girl Scout membership registration fee was paid, it is non-refundable or transferable.

CHAPERONES:Adults accompanying participants may be responsible for:

• Assisting with program activities as requested by program facilitator.

• Administering any necessary disciplinary actions when behavior is disruptive. If behavior continues to disrupt, the workshop facilitator may alert the chaperones to have them handle the situation appropriately.

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PLEASE PRINTPROGRAM INFORMATION GIRL INFORMATION ADULT INFORMATION PAYMENTName of Event Code Date/Time Number of Girls Fee per Girl Number of Adults Fee per Adult Total

REGISTRATION: NOTE unless otherwise specified:

• Troops/groups must meet proper girl/adult ratio. • Adults MUST register for the event. Check individual event descriptions to determine if there is an adult fee. • All girl participants must be registered Girl Scouts. If you are registering a girl for an event who is not a current member of

Girl Scouts, please contact our registration help desk on how to register her as a Girl Scout. (847-741-5521, Ext. 7110).

Adult Contact ___________________________________________________ Email _______________________________________________Address __________________________________________________________ City/Zip ____________________________________________ Home Phone __________________________________________ Alternative Phone ___________________________________________ Troop/Group No. ______________________ OR _________________________ Individually Registered Girl Scout

CurrentGirl Participant Names Grade Adult Chaperone Names First Aid1. _____________________________________ _______ _______________________________________________________ Y / N2. _____________________________________ _______ _______________________________________________________ Y / N 3. _____________________________________ _______ _______________________________________________________ Y / N 4. _____________________________________ _______ _______________________________________________________ Y / N 5. _____________________________________ _______ _______________________________________________________ Y / N 6. _____________________________________ _______ _______________________________________________________ Y / N 7. _____________________________________ _______ 8. _____________________________________ _______ 9. _____________________________________ _______ 10. ____________________________________ _______ Please indicate any special needs that those in attendance may have (diet, activity limitations, etc.):

PAYMENT INFORMATION: Check/Money Order Cash Credit Card Cookie Dough/S’more Dough

Credit Card Information: Visa MasterCard Discover Expires __________________________

Cardholder’s Name (PRINTED) __________________________________ Signature __________________________________

Cardholder’s Address ____________________________________________ City/Zip ____________________________________

Card #____________________________________________________________ Validation Code (on back of card) _________

If additional space is needed to list girls and/or adults, please attach second sheet of paper.

Return with payment to:

Council-sponsored Event Registration Form

Girl Scouts of Northern IllinoisElgin Service Center12N124 Coombs Rd., Elgin, IL 60124

Register online at www.girlscoutsni.org and choose “Click Here To Register”

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Girl Advisory CommitteeThe Girl Scout Advisory Committee is a group of teens from across the council who will be coming together to give their recommendations and creative ideas for council-sponsored events, share activities and events

happening in their communities, and serve as girl experts for Girl Scouts of Northern Illinois.

Who is eligible: All Cadette, Senior, and Ambassador Girl Scouts

2014 Information Meetings: • October 7—6 p.m. Sugar Grove area • October 22—6 p.m. Rockford area • November 8—10 a.m. Western area • November 22—10 a.m. Crystal Lake area

Soon:Coming

Date!Save the

Join us for the 4th Annual Girl Scout Cookie Kick-Off with the Rockford IceHogs! Check girlscoutsni.org/events for upcoming information. We’ll see you there!

December 6!

GSNI SERvICE CENTER LOCATIONS

Elgin Service Center12N124 Coombs RoadElgin, IL 60124847-741-5521

Freeport Service Center5040 Business Rt. 20 West Freeport, IL 61032 815-235-8777 Rock Falls Service Center229 First Avenue, Suite 1Rock Falls, IL 61071815-997-5100

Rockford Service Center2820 McFarland Road Rockford, IL 61107815-962-5591

Sugar Grove Service Center 200 New Bond StreetSugar Grove, IL 60554630-897-1565

Girl Scout Express 200 Applebee StreetBarrington, IL 60010847-620-5043

Join Us!

www.girlscoutsni.org