ga 2010 juniors

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Girl Scout Juniors Girls Grades 4 & 5

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Page 1: GA 2010 Juniors

Girl Scout JuniorsGirls Grades 4 & 5

Page 2: GA 2010 Juniors

Great Adventures 2010

TO APPLYRegistering for your daughter’s camp experience is just a mouse click away.

• Registeronlineatwww.gscm.org/register.htmlorcomplete,sign,anddatetheResidentCampregistrationform.

• Enclosea$50non-refundabledepositforeachcampsessionyouareregisteringforwiththeregistrationform.Thisdepositwillbeappliedtowardsthecampfee.

• ForapplicationssubmittedJune1orlater,fullpaymentisduewithapplication.

• UnpaidbalancesaredueonorbeforeJune1.Afterthatdate,anunpaidbalancewillresultincancellationofsessionplacement.Theapplicantwillbeplacedonawaitinglistuntilfullpaymentisreceivedandaplacebecomesavailableforthecamper.

• Mailregistrationformandallpaymentsto:

GirlScoutsofCentralMarylandAttention:ProgramRegistrar4806 Seton DriveBaltimore,MD21215

FIND US ONLINETheGreatAdventures2010Brochure,FrequentlyAskedQuestions,UpcomingEventsandmoreinformationcanbefoundonlineat:www.gscm.org/camp.

Session 5July 18 – July 23, 2010

Session 6July 25 – July 30, 2010

Session 7August 1 – August 6, 2010

Session 8August 8 – August 13, 2010

Session 1June 21 – June 24, 2010

Session 2June 27 – July 2, 2010

Session 3July 6 – July 9, 2010

Session 4July 11 – July 16, 2010

Pleasenote: OnlineregistrationwillbeunavailableuntilFebruary2010,butyoucanmail,faxore-mailinyourcompletedregistrationformatanytime.

Page 3: GA 2010 Juniors

Great Adventures 2010

Camp Conowingo is located in Cecil County, MD, approximately one-hour

northeast of Baltimore City. The camp is situated on 600 acres of woodlands

and open fields along the Susquehanna River. For more information about this

property or the other properties owned and operated by Girl Scouts of Central

Maryland, visit our website at http://www.gscm.org/camp.html.

Location

Girl Scouting builds girls of courage, confidence, and character, who make the

world a better place.

Girl Scout Mission Statement

Camping provides girls a rich experience away from home. While teaching and

enhancing self-reliance and self-confidence, girls gain an appreciation of the

environment and learn to live and work together with people who are different

from them in a friendly, fun and safe setting. Camp is a great place for a girl to

unlock her potential and discover the world and the great outdoor adventures

that await her! This unique environment helps her develop positive self-esteem,

leadership skills and social skills all while having the time of her life. The camping

experience is truly a building block in the development of girls into successful and

resourceful young women.

Camp Philosophy

The American Camp Association (ACA) accredits Girl Scouts of Central

Maryland’s Camp Conowingo. Accreditation means that the camp undergoes

a thorough review process by outside camping professionals every three years.

Camp Conowingo consistently achieves the highest standard in the areas of

personnel, program, site administration, and health care. Camp Conowingo also

adheres to the Maryland Youth Camp regulations.

Accreditation

While the camp is primitive in some aspects, it allows campers to connect with

their natural surroundings. Campers live in yurts, glen shelters, platform tents,

tipis or lodges. Within each unit are sleeping facilities, kitchen shelters, latrines,

cold-water hand washing stations, and a campfire area. Each sleeping unit, other

than when the campers are tent camping, is equipped with a cot and mattress

for sleeping. Most units do not have electricity. The air-conditioned dining hall,

bathhouse and swimming pool areas boast modern facilities.

Facilities

Note: Staff members sleep in separate areas within the unit, but are centrally located within the unit to which they are assigned.

Page 4: GA 2010 Juniors

Great Adventures 2010

The camp program at Camp Conowingo is based on core activities that develop new skills, embraces the traditions of Girl Scout camp and follows the Girl Scout Leadership Experience--which encourages girls to Discover, Connect, and Take Action. For more information about the Girl Scout Leadership Experience, please visit http://www.gscm.org/programs.html.

The Girl Scout Leadership Experience encourages girls to Discover, Connect, and Take Action. While at camp girls Discover: exploring the world around them and gaining an understanding of themselves and their values. Connect: Girls team with others locally and globally about topics and issues they care about or inspire them. Take Action: Girls act to make the world a better place. Every camp unit is rotated through core activities each day, in addition to the specific unit activities they have signed up for. These core activities, which generally make up four of the seven program sessions that the campers attend each day, include swimming, arts and crafts, ropes course, rock climbing and nature study. The remaining three sessions are spent in their units working toward badge and unit goals that are listed in the program that the camper has signed up for. For example, Pony Tails would make leather crafts or horse-related art in their arts and crafts time. Camp Conowingo Counselors work with the campers to complete requirements for various Girl Scout patch and badge work in most programs. A letter is sent home with campers at the end of each session outlining what badges were worked on or completed during camp. While we do our best to ensure that all activities listed for each camp are accomplished during their week at Conowingo, schedules may need to change or all listed activities may not be able to be completed due to weather or other factors that are beyond our control.

Camp Program

• Has she been away from home overnight for more than one night?

• Is she willing to live in an outdoor setting which includes night sounds, bugs, animals, and using latrines?

• Can she shower and maintain her personal hygiene?

• Can she maintain, pack, and carry her own equipment?

• Is she willing to perform kapers (chores) including: cleaning a latrine and living area, collecting firewood, and assisting with other daily living tasks?

• Can she live and work with people of various diversities such as those of different races, religion, and socio-economic backgrounds?

Is Your Daughter Ready For Resident Camp?

Girl Scout camp is a community-based on everyone respecting themselves, each other and their environment. One way we instill this philosophy is every camper’s participation in daily community chores, called kapers. Kapers include cleaning-up the unit/living area, cleaning and stocking the latrines, setting tables for meals and helping to keep the camp clean. Girls in the horse program will also help with barn and stable chores.

Kapers

Page 5: GA 2010 Juniors

Great Adventures 2010

Join us as we celebrate Father’s Day, Sunday, June 20, 2010 with an Open House at Camp Conowingo from 1 p.m. - 4 p.m. Bring the whole family and enjoy the day together with tons of fun and free activities! Challenge each other up the rock wall, ride one of the horses, spend some time sitting next to our picturesque creek or take a tour of the camp guided by our summer staff. When you need to take a break, wander inside to the air conditioning and enjoy some lunch, create some camp crafts. If you’re still looking to cool off, take a dip in the pool. See for yourself what Camp Conowingo has to offer! Please wear closed toe/closed heel, walking shoes or tennis shoes (no sandals or flip flops). Sorry, no pets allowed.

Camp Conowingo Open House

Do you want to meet some of the camp staff, ask important questions one-on-one and find out more about what our camps have to offer? To find out more about Resident and Council-Directed Day Camps, attend a parent informational meeting at one of the following locations:

Camp Conowingo Shadowbrook Dining Hall 46 Shadowbrook Road Conowingo, MD 21918

Sunday, February 7, 2010 11 a.m. – 12:30 p.m.

Camp Whippoorwill 522 Lake Shore Drive Pasadena, MD 21122

Tuesday, March 2, 2010 7 p.m. – 8:30 p.m.

Camp Ilchester Clementine Peterson Activity Center 5042 Ilchester Road Ellicott City, MD 21043

Wednesday, March 10, 2010 7 p.m. – 8:30 p.m.

GSCM Council Seton Service Center 4806 Seton Drive Baltimore, MD 21215

Tuesday, March 16, 2010 7 p.m. – 8:30 p.m.

Camp Woodlands 2744 Riva Road Annapolis, MD 21401

Wednesday, March 24, 2010 7 p.m. – 8:30 p.m.

Parent Information Meetings

Ifyouwishtoattend,RSVPtoConnieAdams,[email protected].

A health professional is located at the Health Center, Pax Tu. All medications are kept at the Health Center. All medications (prescription or over the counter) sent to camp must be in the original container and properly marked. Any medication that must be carried at all times by a camper (i.e. inhalers or Epi pens) will be kept by her counselors in the unit first aid kit to ensure safety. All girls are required to have a physical exam within 24 months of the start of the camp session. A current health history, signed by a physician, is required for participation. All immunizations and vaccinations need to be listed on the form. Health forms from previous years of camp are not available as they are permanently stored upon closure of each camp season. If you plan on attending more than one session, it is helpful to the staff to send a photocopy of the form for each new session.

Health And Safety

Page 6: GA 2010 Juniors

Great Adventures 2010

Resident Camp staff is recruited regionally and from around the world. We carefully select staff from within the United States and abroad, such as England, Australia, Thailand, etc. It is our belief that a diverse staff offers girls of all ages the opportunity to meet people from near and far to learn more about themselves and people who are different from them. Applicants are required to undergo background, fingerprint and drug screenings. The majority of the staff is certified in First Aid and CPR. Specialty program instructors (lifeguards, horse personnel) have extensive knowledge in their areas of expertise. Adult staff to camper ratios adheres to Safety Wise standards and are: 1:6 for Grades 2-3; 1:8 for Grades 4-5; 1:10 for Grades 6-8; and 1:12 for Grades 9-12.

Camp Staff

Well-balanced, kid-friendly meals are served in the main dining hall three times a day. Girls also have the opportunity to plan and prepare their own campfire cookout with their unit at least once during the session. We request that all girls drink at least one full glass of water prior to milk, juice, or other beverages provided at every meal, to ensure continued hydration. Special dietary needs are to be discussed with the Outdoor Program Specialist prior to camp and noted on the Health History form. No food may be sent with the camper! Food is not permitted in the living areas since it attracts unwanted creatures. All food brought or sent to camp will be secured by the camp’s staff.

Meals

At Resident Camp, campers adapt easily to the climate. Campers naturally adapt to living in the summer heat without air conditioning or fans by staying hydrated, resting during the hottest part of the day, swimming in the pool, participating in water games and wearing cool, cotton clothing.

What About The Heat?

The camp staff strives to create a successful and positive camp experience for every girl. Girl Scouts of Central Maryland reserves the right to send any girl home that exhibits unsafe and/or unacceptable behavior or endangers other girls, staff or property. Parents/guardians will be notified and are responsible for picking up the girl immediately from camp. Persons listed as emergency contacts may be notified if parents/guardian cannot be reached. No refund will be given if a camper is sent home due to unacceptable or inappropriate behavior.

Camp Behavior

We encourage families to attend one of the parent information meetings or the Open House to visit the camp prior to your camper’s attendance. Visits and phone calls to campers are strongly discouraged while camp is in session as they can disrupt programming and can cause homesickness. Please refrain from promising your camper that she can be picked up if she doesn’t like camp since this often leads to more severe cases of homesickness. Homesickness is a natural reaction for anyone away from home. Help prepare your camper for strange sounds, meeting new friends, trying new activities and even the possibility of becoming homesick. Your loving support before coming to camp will help your daughter to overcome her fear of the unknown. In extreme cases of homesickness, you will be contacted to make you aware of the situation so a determination of whether your daughter should stay at camp can be discussed. No refund will be given if a camper leaves a session early due to homesickness.

Homesickness

Page 7: GA 2010 Juniors

Great Adventures 2010

The Trading Post carries items such as shirts, stuffed animals, hats, and various camping items. The Trading Post will be open during the Open House and during each session of camp. You will receive a Trading Post money envelope in your confirmation packet. The envelope should be given to the bus counselor, or for those providing their own transportation, to the counselors at the registration table. On average, girls spend $25 at the Trading Post. Money not spent will be returned on the last day of the camp session.

Conowingo Trading Post

Two girls wishing to attend camp together as buddies must provide that information on their registration forms. Space is provided on the registration form to indicate ONE friend’s name and both buddies must request each other. If you register online, please indicate your buddy preference in the “Special Needs” section of the online form. Cabin/tent mate requests will be honored for one friend only. We cannot guarantee buddy placement, nor can we accommodate large group placement.

Camp Buddies

• For more than one girl in a family attending Resident Camp, the full fee will be charged for the first girl. A $20 discount will apply for each additional girl in the family.

• Girls attending camp for four or more sessions will receive a $100 discount off of the total fee.

Do you have a friend who is not a Girl Scout? Does she love the outdoors or making new friends? Then ask her to come along to camp this summer with you. Imagine all the fun you two could have at Camp Conowingo! You will earn a GSCM Bring a Friend Patch and receive a $10 gift certificate to spend at the Camp Conowingo Trading Post. To qualify for this program, both registration forms must be submitted together.

Discounts

Bring A Friend To Camp

Not a problem, join us for the fun! Participating in the camping experience is yet another Pathway where girls who are not currently a member of Girl Scouts can attend Resident Camp. If the applicant is not a registered Girl Scout, enclose the annual $12 membership fee, which covers registration and insurance, with the camp registration form and deposit. Check the appropriate box on the registration form to indicate non-Girl Scout.

Financial assistance, based on need, is available to all registered Girl Scouts. The application must be submitted 45 days prior to the start of the program. The Financial Assistance Application (Form#: 04-1121) can be obtained from the forms section of our website at: www.gscm.org/adults/forms.htm or from the Volunteer Resource Center at the Seton Service Center 410.358.9711 or 800.492.2521 or by emailing [email protected].

Not A Registered Girl Scout?

Financial Assistance

Page 8: GA 2010 Juniors

Great Adventures 2010

All requests for refunds must be submitted in writing. Camp fees, less the non-refundable deposit, are refundable under the following conditions:

• If the written request is received at least three weeks prior to the opening day of the session.

• Within three weeks prior to the opening date of the session, a refund may be secured if GSCM receives a written certificate from a licensed medical professional stating the camper is unable to attend the camp session.

• Refunds will be prorated if any medical situation occurs during the camper’s session. Every effort will be made to place the camper in another session.

• A full refund will be made if a session is cancelled, or the camp is unable to accommodate any of the camper’s session choices.

• No refund will be given if a camper is sent home due to unacceptable behavior or homesickness.

Upon receipt of your daughter’s registration form with deposit and successful placement in the chosen session(s), you will be sent a confirmation packet that includes the following:

• Parent Information Letter, including Packing List

• Health Examination and History Forms

• Session and Program Placement Confirmation, including balance due information

• Luggage tags

• Program Release Form

• Bus Schedule

• Trading Post Money Envelope (see Conowingo Trading Post)

• Program Release Forms from Outfitters of Specialty Programs (if applicable)

Refunds

Confirmation

Bus service is provided from four locations to and from the camp at a nominal charge of $25. This fee is for the additional convenience of bus transportation and to assist in covering the rising cost of fuel. Girls are transported on motor coaches from the following locations:• BaltimoreCity: GSCM Seton Service Center

• Towson: Park & Ride at Providence Road and I-695

• GlenBurnie: North County Recreation Center

• Annapolis:Annapolis High School

Specific drop-off and pick-up times will be sent in the confirmation packet. As each bus has a maximum of 46 riders, bus transportation is on a first come, first serve basis at time of registration. You will be notified in your confirmation packet about your bus status. If you register online, please include your bus preference in the “Special Needs” section of the online form.

Bus Service

Page 9: GA 2010 Juniors

Great Adventures 2010

Come out to Conowingo to relax and chill while earning your Stress Less badge. Make your own lip balm (with natural ingredients), swim in the pool, write in your journal and practice some yoga. You will spend these four days hanging out with your new friends, pampering yourself and making a stress(less) kit to take home with you. Come chill with us.

Conowingo Chillin’ Session 1

$195

Enjoy your favorite camp activities during your four-day resident camp adventure. Swim, hike, and enjoy a trip to the stables at Conowingo for a corral horse ride. Prepare and feast on a delicious campfire meal. Don’t forget the crafts and campfires that make this resident camp adventure complete.

Junior Explorers

Session 1$205

You and your new mermaid friends will do everything water this week. Go on a creek hike and explore the creatures that swim through Conowingo. Spend extra time in the pool, and you might get a chance to stay up for a late night swim. Paddle around Mad River’s Canoe Lagoon during a canoe session. At the end of your water-logged week, throw a water party with water games and a chance to play on the giant Slip n’ Slide. Dry off to spend some time making arts and crafts, doing nature activities and more.

Mermaid’s Delight

Sessions 2 and 8$280 per session

Do you want to do everything at Camp Conowingo? This is your chance. Go on creek hikes and cook your own meal over the campfire. See how quickly you can climb the rock wall and work as a team to conquer the ropes course. You will even get a chance to visit the stables and go on a horseback ride in the corral. Make new friends as you sit ‘round the campfire, make arts and crafts, swim and enjoy nature activities. If there is time, go on a search for the geocaches and letterboxes that are hidden around camp.

We Want It All!

Sessions 2 & 4$295

Have you always dreamed of going horseback riding? If you have never ridden before, or if it’s been a long time, this camp is the perfect introduction. Enjoy riding as you learn the basics of mounting, dismounting, walking, and steering. Work towards your Horse Fan badge while you groom, tack and take care of the horses. Take daily breaks from the corral with a daily dip in the pool and enjoy other camp activities such as arts and crafts, hiking, sports and a trip up the rock wall. (Girls in this session will ride three times, weather permitting)

Pony TailsSessions 2, 4, 6 $315 per session

This session is jam packed with a bit of everything for the first-time camper! Work towards your Swimming and Sports Sampler Badges, get creative with arts and crafts, spend a session canoeing, learn about nature, get on a horse and go on a corral ride, challenge yourself to get up the rock wall and meet new friends while roasting s’mores around the camp fire. This is a great introduction for new campers.

Junior JamSession 3

$195

Warning! You will get very dirty, possibly yucky mucky dirty, at this session – good thing it is a short week! Start off the week by decorating your own jumpsuit that you can wear during all of your messy fun. Be prepared for lots of fun, and lots of showers, as you make human s’mores, play tag with jello jigglers and make your own glop. Of course, when you’re not too slimey, you can also take a dip in the pool, try your hand at some new crafts, play sports, go on a hike or try out the rock wall.

Yucky MuckySession 3

$195

Page 10: GA 2010 Juniors

Great Adventures 2010

Legend has it that you will not have bad dreams if a dream catcher is near. During this short week, you will create your very own dream catcher. Stay in our most dreamy unit, Laughing Waters, where you will be able to sleep in tipis and listen to the creek that flows by this unit. Figure out what dreams mean during dream interpretation time and create your own dream journal. Learn how to decorate leather and make jewelry. You will also be able to explore nature, go on hikes and cool down in the pool during the days.

Dream Catchers

Session 3$195

Stilt walking, tutus, hula hooping, masquerade masks and lots of fun are all a part of the magic for you and your camp friends this week. Learn how to walk on bucket stilts, make your own tutus, hula-hoops and masquerade masks and create a fun performance for the Conowingo Night of Theater. You will explore different ways to entertain people and have a blast creating an act to perform for the rest of the campers at the end of the week. Of course every performer needs to take five, that’s when you will get to go swimming, go on hikes and enjoy campfires.

Carnival Magic

Session 4$280

During this week spend your time between horses, archery and canoeing. Learn the fundamentals of canoeing and take two trips to the horse stables for corral rides. Top it off with a bulls-eye in archery class. Swimming, making crafts and going on nature hikes are all a part of this adventure filled week.

Saddles, Paddles &

ArrowsSessions 5, 7, 8

$295 per session

During this “extreme” week you and your adventure team will test your skills on the ropes course, improve your rock climbing skills, learn the basics of canoeing and even create your own obstacle course for other campers. All of this and more as you earn your Adventure Sports badge. At the end of the week, put your new skills to the test at the annual Conowingo Capture the Flag contest.

Adventure SportsSession 5

$285 per session

Come discover the world that comes to life at night. While other campers are sleeping, you’ll search for creatures active at night, go on a moonlit hike on the All States Nature trail and enjoy a moonlit swim. At the end of the week, you will put on your pajamas for a star party where you will set up tents at Hemlock Knoll, find constellations in the night sky and watch an outdoor movie. Campers will sleep in, go to bed late and have plenty of time to enjoy the fun at camp, just on a different schedule.

Pajama PartySession 5

$280

Spend each of your days at Conowingo on a different continent. You will sample international foods, play traditional games and learn new ways to say hello. Make a replica of your favorite international flag in arts and crafts and meet people from all over the world. Take a break from your cultural travels and visit the pool, hike around the woods and participate in other camp activities.

Around the World in 6

DaysSession 5

$280

Page 11: GA 2010 Juniors

Great Adventures 2010

Did you ever want to take your old clothes and make them cool again? You will learn how to express your unique style this week as you make art from recycled and found items. Bring an old shirt, cut it up, add paint, and make it into something you want to wear again. Learn how to make paper from old scraps. Then use stenciling, spray painting and other printing techniques to decorate and create your own DIY Art for the camp’s art show. Of course you and your new D.I.Y. friends will get a chance to rest in the pool and participate in other camp activities.

D.I.Y. [Do It Yourself] Art

Session 6$280

Are you tired of the muggle world? Then join your sister magicians at Conowingo for a week filled with adventure and magic. Find yourself sorted into your “house” (buddies will be kept in the same “house”) before participating in a number of amazing activities. Try your hand at divination, see if you can read your cookie crumbs, study magical creatures, and participate in wizard duels. Take a break to watch a Harry Potter movie with some popcorn and participate in your favorite camp activities like swimming, campfires and more!

Hogwoods: Camp of

MagicSession 6

$280

Cool off this summer while working towards the Water Fun, Water Sports and Swimming badges. Play water volleyball with your team, get in shape with an aqua-aerobics workout and of course – have plenty of fun splashing in the pool and keeping cool. Use your water experiences to help out with putting on the All-camp luau for the rest of the campers. You will get a chance to dry out when you do arts and crafts, nature and ropes course activities and other camp sports.

Water WorksSession 7

$280

Come hear the story of our special Girl Scout friend Zink, a spotted zebra. Perform in a short play about your new friend Zink, and his special message, for the camp. Meet one of Zink’s close cousins when you go for a corral ride at the horse stables. Enjoy games, crafts, swimming, canoeing, hiking the creek and spending the night in a ground tent as part of your camp adventure. Girls will receive a spotted zebra beanie and earn a Zink Goes to Camp patch.

S’more ZinkSession 7

$295

Ahoy Matey! Spend the whole week being a pirate at Conowingo. Make your own pirate hat and go on a treasure hunt through the woods. Create a cardboard boat and see how long you and your fellow pirates can stay afloat. Decorate your own treasure chest to bring home all of your new booty that you acquired at camp. Practice your boat boarding skills on the high ropes course. You never know when that might come in handy.

Swashbuckling Adventures

Session 8$280

If you have attended Pony Tails or are comfortable riding horses, this camp is for you. Spend time improving your horse skills with un-mounted and mounted workshops. Girls will earn the Horse Rider Badge as they learn more about caring for a horse, work on the trot and go on a trail ride (weather and skills of riders permitting). Riders must be able to control a horse at a walk before learning how to trot. Girls will have four riding lessons (weather permitting).

Saddle UpSession 8

$330

Page 12: GA 2010 Juniors

2010RESIDENTCAMPREGISTRATIONFORM

Camper’sName:Last First MI

Last FirstParent/Guardian’sName

Street City State Zip

Day Evening Cell

Address:

E-mail:

Telephone:

CamperInformation:

1stCampName: Session: SessionFee:

2ndCampName: Session: SessionFee:

3rdCampName: Session: SessionFee:

4thCampName: Session: SessionFee:

ProgramChoices:

BuddyPreference:Yourbuddy’sapplicationmusthaveyournameonitinordertocreateabuddypair.

Birthdate: / /

Date: / /

Troop#:Yes,IamcurrentlyaGirlScout

(encloseadditional$12)No,IamnotcurrentlyaGirlScout

GradeinSchool(Fall2010):

Mybuddypreferenceis:

Parent/GuardianSignature:InsuranceCo.Name: City: Policy#:

CustodialCareInformation:Mycamperisunderthecustodialcareof:

BothParents MotherOnly FatherOnly Other

Transportation/BusStop: Annapolis GlenBurnie GSCMServiceCenter Towson Own

Registration must include a $50 deposit for each camp session registered and total camp fee (less deposit) must be received by 6/1/2010. (If you register after 6/1/2010, full payment must accompany registration)

** There is an additional $25 roundtrip fee for this service this year.

Indicate ONE name ONLY

Thisreflectsmypermissionformycampertoattendsummercampandparticipateinallactivities,includingthoselistedordescribedinthecampbrochureorwebsitethatIhavereceived,readandunderstand.MypermissionisalsogiventotheGirlScoutsofCentralMarylandtoutilizeanyphoto,videooraudioofmydaughterforpublicityoradvertisingpurposes.IntheeventofillnessorinjuryofmydaughterwhileundersupervisionoftheGirlScoutsofCentralMaryland,IherebyauthorizetheGirlScoutsofCentralMarylandtoobtainand/orprovidemedicaltreatmentandservicesasdeemednecessaryandappropriateunderthecircumstances.Inconnectionwithmyauthorization,Iunderstandthatmyfamilyhealthinsurancewillprovideprimarycoverageforsuchmedicaltreatmentandservices,andthattheinsureroftheGirlScoutCouncilofCentralMarylandprovidessecondarycoverage.FortheparentsofgirlsregisteringasGirlScoutsinordertoparticipateinsummercamp:IunderstandthatmycamperwillbecomeamemberofGirlScoutsoftheU.S.Abyherregistrationforthisprogram.

Payment: CheckEnclosedCreditCard Mastercard VISA

Account

Address

Phone CardholderSignature

Exp. CardholderNamePlease Print

Youcanalsoregisteronlineatwww.gscm.org.

Mailregistration&paymentto:ProgramRegistrar,GirlScoutsofCentralMaryland,4806SetonDrive,Baltimore,MD21215