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2611 WATERFRONT PARKWAY EAST DRIVE SUITE 100 | INDIANAPOLIS, IN 46214 | girlscoutsindiana.org SUMMER CAMP Girl Scout 2015

2015 Summer Camp Guide

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Page 1: 2015 Summer Camp Guide

2611 WATERFRONT PARKWAY EAST DRIVE SUITE 100 | INDIANAPOLIS, IN 46214 | girlscoutsindiana.org

SUMMER CAMPGirl Scout2015

Page 2: 2015 Summer Camp Guide

Girl Scout camping… is an experience that provides creative, educational opportunities in groups living in the outdoors. Its purpose is to use the Girl Scout Program, trained leadership, and the resources of the natural surroundings to contribute to each camper’s mental, social, physical, and spiritual growth.

Day camp… is an experience for girls from different troops and groups to meet outdoors each day. Girls attend as individual campers and are placed in units according to their grade in the fall. Experience day camp and make new friends!

Resident camp… is a camping experience for girls to live in the outdoors for three or more days. Girls from different troops and/or groups sign up as individual campers and are placed in units according to their desired program activity. Girls and their counselors plan activities, taking advantage of the opportunities available to them.

Troops Love Camping (TLC)... is an experience for the whole troop! Want to share summer camp with your Girl Scout friends? Then this is defi nitely for you! We will supply food, supplies, and activities for your troop.

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Registration opens Wednesday, January 21

Summer campLocation map 4Open houses 5Bring a friend to camp 6Send a girl to camp 7College Campus & Community Camps 8-9

Camp Sycamore Valley Day camp 10-13Resident camp 14-17Troops Love Camping 18-19

Camp Na Wa Kwa Family camp 20Mini sessions & day camp 21

Camp Dellwood Day camp 22-29

Camp Gallahue Resident camp 30-45Family camp 46

FormsDay camp 47-53Resident camp 55-56Troops Love Camping 57Family camp 58Program assistance grant application 59-61Girl membership registration 62Adult membership registration 63

Girl Scouts of Central IndianaChief Executive Offi cer

Deborah Hearn Smith

Chief Operating Offi cer

Cathy Ritchie

Director of Program Services

Diana Keely

Camp Administrators

Meisha Wide, Camp [email protected]

Barb Nichols, Camp [email protected]

Kendra Nowell, Journey [email protected]

Brittany McCallister, Camp Sycamore [email protected]

Alicia Martin, Camp Nawakwa, Mounds State [email protected]

Jaime Hubbard, University [email protected]

Math and Science Center Manager

Katie Wahlstrom

Facility Reservations

Theresa Sutton

Contact Numbers

855.GSCIN.4U or 317.924.6800

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Summer camp locations

InformationJoin us for a day or even the week to get the outdoor training you need to take your girls canoeing, swimming, outdoor cooking, and even more. We provide meals and lodging during the training. The training will be held at Camp Gallahue in the scenic hills of Brown County.

WhenMay 29-June 1

WhereCamp Gallahue(Brown County, 50 miles south of Indianapolis) Maps and confi rmation packet will be provided after registration.

Visit girlscoutsindiana.org to register for learning sessions!

Learning opportunities• American Red Cross Lifeguard Training• NADA Level 1 Instructor (Archery)• American Red Cross Basic Water Rescue and

Small Craft Safety (Canoeing) • Outdoor Fundamentals• Camping Anywhere• Outdoor Cooking (advanced)• Firebuilding• Songs

2015 Safety week for adults

Butler UniversityDay camp

Camp DellwoodDay camp

Camp GallahueResident campFamily campCamp Na Wa KwaFamily camp Day CampJourney University resident campMini SessionsCamp Sycamore ValleyDay campResident campTroops Love Camping

Indiana UniversityResident camp

Marian UniversityResident camp

Mounds State ParkDay camp

Purdue UniversityResident camp

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Camp Gallahue

Sunday, May 312-4 p.m. 6758 Bear Creek RdMorgantown, IN 46160

Camp Gallahue consists of more than 800 acres of relaxing property in Brown County, near Morgantown, IN. The camp is located about 30 minutes northeast of Bloomington and just over an hour south of the Indianapolis service center. The property includes beautiful hills, an abundance of trees, and a lake.

Camp Sycamore ValleySaturday, May 30noon-2 p.m.8439 State Road 26 ELafayette, IN 47905

Sycamore Valley sits on 160 acres of land and is located on SR 26, seven miles east of Lafayette on the Wildcat Creek. The two sleeping units include A-frame cabins (Unit 1) and eagles nests – cabins on stilts (Unit 2). Sycamore Valley also has an in-ground pool with modern shower house. Girls may participate in several different learning opportunities on our 37-foot climbing wall and 300-foot zip line, as well as our low ropes course.

Camp open housesCamp DellwoodSunday, May 312-4 p.m.2301 N Girls School RdIndianapolis, IN 46214

Camp Dellwood in Marion County is 141 acres of wooded farmland. Six platform tent units and three buildings provide sleeping quarters for over 200 girls a week. A swimming pool permits summer waterfront activities. The camp is located approximately 10 miles west of downtown Indianapolis. We recommend new day camp volunteers attend this open house to become familiar with the property.

Please do not wait to register for camp until the open houses as many camp sessions will already be full. For more information and to register, visit girlscoutsindiana.org/camp.

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Girl Scouts of Central Indiana Bring a Friend to Camp form

Bring a friend to camp!Bring a friend to summer camp and you both will earn a patch! Encourage your friends to attend camp with you this summer and you will earn a Bring a Friend to Camp patch. Once you fi nd your friend complete this form and mail or fax it to us. This can either be a new Girl Scout or even a current Girl Scout that has never attended that specifi c camp before. Pass the word along and bring a friend.

q Girl Scout q Non-Girl Scout

Girl name ______________________________________________________________________________________

Parent name ___________________________________________________________________________________

Address ________________________________________________________________________________________

City __________________________________________________ ZIP code _________________________________

Home phone _____________________________ Work or cell __________________________________________

Email __________________________________________________________________________________________

I am bringing ___________________________________________________________________ to camp with me

I will be attending (please check one) q Day camp and/or q Resident camp

at (please check one):q Butler University q Camp Dellwood q Camp Gallahue q Camp Sycamore Valley q Girl Scout Service Center at Bloomingtonq Marian University q Mounds State Park q Camp Nawakwa q Purdue University

Session name: ____________________________________Date of session: ______________________________

DatesJune 3-July 24

Day campButler UniversityCamp DellwoodCamp Sycamore ValleyMounds State ParkCamp Nawakwa

Resident campCamp GallahueCamp Sycamore Valley Indiana UniversityMarian UniversityCamp NawakwaPurdue University

The form below must accompany your camp registration. If your friend is not a registered Girl Scout, please fi ll out the girl membership form in the back of the book along with the camp registration. Your friend will need to also fi ll out a camp registration along with attend all week at camp with you.

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Send a girl to campCamp scholarshipsIt is our goal to continue to provide opportunities for girls who want to go to camp. Camp scholarships provide this life-changing experience for girls who may not otherwise be able to participate because of their economic circumstances. Contributions to camp scholarships make it possible for all girls throughout the 45 counties we serve to attend camp and have the same opportunities and experiences regardless of their ability to pay. In addition camp scholarships help underwrite the cost of camp activities, keeping fees low for all girls.

With your help, we will continue to give Girl Scouts the opportunities they need to become the leaders they want to be today, and the leaders our community needs them to be tomorrow.

$1,000 = One week of resident camp for four girls

$500 = One week of day camp for fi ve girls

$260 = One week of resident camp for one girl

$100 = One week of day camp for one girl

Donations can be made at girlscoutsindiana.org or complete the form below and mail to: Girl Scouts of Central Indiana, 2611 Waterfront Parkway East Drive, Suite 100, Indianapolis, IN 46214

Yes, I would like to help send a girl to camp!

Name ________________________________________________________________________________________

Address ______________________________________________________________________________________

City _________________________________________________________State___________

ZIP _______________________________________________________________

Phone _________________________________________ Email _________________________________________

Payment information

q $1,000 q $500 q $260 q $100 q Other $ _______

q Enclosed is my check payable to Girl Scouts of Central Indiana

q Please bill my credit card (fi ll in information below)

Card number ___________________________________________________ Exp date _____________________

Signature _____________________________________________________________________________________

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College campus campPlease Note: Transportation is not provided for these camps. More information about drop off and pick-up will follow in a confi rmation packet.

Indiana University Informatics CampGrades: 11, 12

Join the staff of IU's College of Informatics to explore various areas of computer technology in a week-long overnight camp on campus! Work hands-on in the college labs as you learn from faculty about how information technology is used in science, art, and visual communications. After fun hands-on classes all day, enjoy activities in the evening such as bowling, movies, swimming, games, and more.

Note: This is a co-ed activity offered through IU Bloomington. Women and men sleep on different fl oors and counselors are present at all times.

$325

June 21-25

Register online: https://bit.ly/soicsummercamp2

Contact: Nancy Lemons • [email protected]

Indiana University Resident Camp: E-TextilesGrades: 6, 7, 8Offi ce Code: 2053

Girl Scouts of Central Indiana is teaming up with Indiana University School of Informatics and Computing to offer an opportunity for you to jump into the exciting world of E-Textiles. You will create an electronic textile of your choosing that will take an input (e.g., temperature) and produce an output (e.g., LEDs lighting up). Through hands-on activities you will gain an understanding of new printing technology, 3D visualization, basic electronic circuitry, basic programming, sewing, prototyping, and the iterative design cycle. The camp will culminate in a fashion show where you with get the chance to show off your new creations to your parents, guardians, families and friends. The fashion show and family/friends

program will take place on Thursday, July 16, beginning at 10:30 a.m. and will be followed by a luncheon.

Campers will stay on the beautiful Indiana University Campus in one of the dorms and experience what it is like to be a college student.

$300

July 13–16

Contact: Jaime Hubbard • 317.924.6859

Journey University: Day camp at Butler UniversityGrades: 6, 7, 8, 9, 10Offi ce Code: 2050

Are you working toward your Girl Scout Silver or Gold Award? Do you want a quick way to get all the prerequisites out of the way so you can dive right into the project? Here’s your chance! Journey University is a week long program that will take you through a Girl Scout journey from the It’s Your Plant Love It, It’s Your Story Tell It, and It’s Your World Change It series. You will also receive offi cial council training on your Girl Scout Silver or Gold Award and work to create a plan for your project. Fee includes overnight accommodations on Thursday, Thursday dinner, Friday breakfast and lunch, Girl Scout Gold/Silver Award training and information packets, journey girl book, journey awards and patch.

$140

8 a.m.-4 p.m. daily, overnight on Thursday night

Session A: June 15-19

aMaze (Grades 6-8)

Media (Grades 6-8)

Breathe (Grades 6-8)

Mission Sisterhood (Grades: 9-10)

Girltopia Grade (Grades: 9-10)

Sow What Grades: (Grades: 9-10)

Your Voice, Your World (Grades 11-12)

Bliss Grades (Grades 11-12)

Justice Grades (Grades 11-12)

Session B: July 6-10

aMaze (Grades 6-8)

Media (Grades 6-8)

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Breathe (Grades 6-8)

Mission Sisterhood (Grades: 9-10)

Girltopia Grade (Grades: 9-10)

Sow What Grades: (Grades: 9-10)

Your Voice, Your World (Grades 11-12)

Bliss Grades (Grades 11-12)

Justice Grades (Grades 11-12)

Session C: July 20-24

aMaze (Grades 6-8)

Media (Grades 6-8)

Breathe (Grades 6-8)

Mission Sisterhood (Grades: 9-10)

Girltopia Grade (Grades: 9-10)

Sow What Grades: (Grades: 9-10)

Your Voice, Your World (Grades 11-12)

Bliss Grades (Grades 11-12)

Justice Grades (Grades 11-12)

Contact: Kendra Nowell • 317.94.6811

Marian University Resident Camp: Girls Exploring Medical Sciences (G.E.M.S.)Grades: 8, 9, 10Offi ce Code: 2053

Are you fascinated in biology class about how the human body works? Do you fi nd yourself drawn to the “Untold Stories of the ER” TV shows? Then this camp based in Marian University’s new College of Osteopathic Medicine is for you! We will spend time learning about various medical specialties and have lots of hand-on activities such as learning how to cast on a broken arm, how to evaluate a new-born baby, see how the heart works and maybe even get to hold a heart specimen! We will even spend a day learning about how medicines are developed and produced at Eli Lilly & Co! Come spend a week learning what it might be like as a medical student! Stay on campus in one of Marian University residence halls.

$300

June 23-26

Contact: Jaime Hubbard • 317.924.6859

Purdue University Resident Camp: Technology Advances Girl Scouts (T.A.G.S.)Grades: 6, 7, 8Offi ce Code: 2053

Join the faculty, graduate students and staff of Purdue University’s College of Technology to explore the exciting world of technology. You will participate in hands-on activities to work in college labs to expand your knowledge and skills. The faculty and graduate students will lead the way as you experience different departments including Aviation, Building Construction Management, Computer Graphics, Computer Technology, Electrical Engineering, Technology, Mechanical Engineering Technology, and Technology Leadership and Innovation. Stay on campus in one of Purdue University residence halls and dine in the university dining halls.

$300

July 20-23

Contact: Jaime Hubbard • 317.924.6859

Adventure day campMounds BoundGrades: 1, 2, 3, 4, 5, 6, 7, 8

Use your imagination to explore the grounds of Mounds State Park. Learn about the preservation of mounds and earthworks built by our Hoosier ancestors! Discover what girls did for fun during the 1800's. Take an adventure through the trails to learn about wildlife, water animals and the plants that make this park so beautiful. On Thursday, light up the night with fun activities. Swimming daily, weather permitting.

$85*non-members $115

July 6-10

Mounds State Park 4306 Mounds Rd, Anderson

Contact: Alicia Martin • 317.924.6834

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…is an experience for girls from different troops and groups to meet outdoors each day. Girls attend as individual campers and are placed in units according to their grade in the fall.

Please note: This is not troop camp and the entire troop is not guaranteed to be placed together in one unit.Attend day camp and make new friends!

At day camp you’ll try new craft projects, sing, discover the wonders of the outdoors and learn how to live with nature, play games, experiment with science, math, and technology, make new friends, make lasting memories, and for one night, your unit will remain in camp together. Day camp is a great way to build your courage, confi dence, and character!

Day camp is for all girls who have completed kindergarten through 7th grade. Girl Scouts from other councils, as well as non-members, are welcome to attend day camp. Girls who are no longer active in a troop or have never been members may attend camp by paying a one time fee of $30.* For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself.

*Includes Girl Scouts of the USA membership fee.

Please fi ll out the girl member registration form in the back of this book along with the camp registration form.

Day camp begins at 9 a.m. and ends at 3:30 p.m., Monday through Friday. All campers will have the opportunity to spend one night (Thursday) at camp. On the overnight, girls will sleep in a tent/cabin with other girls. Adults will have separate sleeping quarters. Only registered adults volunteering the entire fi ve days are allowed to stay for the overnight.

Day camp at Camp Sycamore ValleyChild care before and after hours is not provided.

Day camp is not the same as troop camping. At day camp, you and one friend will be assigned to a unit where you can work and play together all week. Each girl should list the other’s name on their registration form to guarantee placement together. Girls and parents should agree on their camper’s buddy. Often a buddy’s name is listed, but that girl already has arranged to be buddies with someone else. Placement together will not be possible if more than one name or different names are listed. Troop members attending the same session are not guaranteed the same unit assignments. All girls are placed in a unit based on the grade they will be entering in the fall.

Our camp is not open to visitors during camp sessions so that we may provide a safe and secure environment for all participants. All participants and staff must be registered prior to camp in order to attend. Please plan to visit the camps during the open house to see the units, staff and program areas.

Day camp fees-per personDay Camp Sampler Session I ....................................$60

Non-Girl Scout fee* ........................................................$90

Day Camp Session 2, 3, 4 fee ..................................... $85

Non-Girl Scout fee* ........................................................$115

Day Camp Session 5 ...................................................... $70

Non-Girl Scout fee* ......................................................$100

Full payment is due at time of registration. All fees include a day camp T-shirt and patch.

*Includes Girl Scouts of the USA membership fee. Please also fi ll out the girl membership form and the camp registration form in the back of the book.

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Camp open house | Saturday, May 30 | noon-2 p.m.8439 State Road 26 E, Lafayette, IN 47905Brittany McCallister 317.924.6857

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Camp feesGirl Scouts of Central Indiana is committed to providing high-quality, affordable outdoor programming for girls. Thanks to the support of product sales and other funding to the council, we are able to keep the cost of camp sessions substantially lower than the actual cost.

Car transportationParents should plan to drive their daughter to and from camp. Campers must be dropped off at camp no earlier than 8:30 a.m. and picked up no later than 4 p.m.

MealsEach camper will bring their lunch on Monday, Tuesday and Wednesday. We will provide the meals for the rest of the week.

Volunteer staff benefi ts• Attend day camp for free• Waive the camp fee for the girl of your choice• Receive a camp T-shirt and patch• Make a difference in a girl’s life

To waive a camp fee, volunteers must attend a pre-camp meeting, attend day camp fi ve full days (Monday through Friday), and stay on the overnight (Thursday night).

Please understand that all adult volunteers are expected to volunteer Monday through Friday and stay on the overnight (Thursday night). This is for the safety and well being of our campers. No exceptions!

Volunteer staff trainingAll day camp volunteers must attend the pre-camp meeting for the session(s) they are assigned to. At this meeting, volunteers will receive a day camp volunteer staff manual; receive unit assignments, unit lists, and unit schedules; learn about the specifi cs of the session; meet the people they will be volunteering with; and work with others to develop activities for their unit.

Pre-camp meeting datesCamp Sycamore Valley Volunteer TrainingSessions 1-5: Saturday, May 30, 2:30-4 p.m.

Older girl leadership at day camp Day camp aides have long been a part of the day camp experience. Day camp aides provide a variety of skills, talents, and support to younger campers while continuing to develop their

leadership skills in an adult supported and supervised environment.

If you want to be a day camp aide this summer, here’s what you need to do: Attend day camp Aide-in-Training week at Camp Sycamore Valley (for new day camp aides).

This training is designed to reinforce basic skills and to give a foundation for leading and working with younger girls in the outdoors. During the week, girls will also complete the Program Aide Training. Registered Girl Scouts must have completed 7th grade. Cost is $35. The fee of the training includes materials, a day camp T-shirt and patch.

Day Camp Aide-in-Training will be offered June 8-12. Training is Monday through Friday with an overnight on Thursday night. You must complete the entire week of training, including the overnight, to be qualifi ed to become a day camp aide.

Experienced day camp aides and girls who have completed training may apply to be a day camp aide. The cost is $25 per session. The fee for day camp aides defrays meals, incidental expenses and includes a day camp T-shirt and patch.

When to registerRegistration opens Wednesday, January 21

How to register- four great options!

1. Register online at girlscoutsindiana.org

2. Mail registration and health history forms with full payment to: Attn: Camp RegistrationGirl Scouts of Central Indiana 2611 Waterfront Parkway East Drive, Suite 100Indianapolis, IN 46214

3. Fax registration and health history forms with full credit card payment to: 317.931.3346.

4. Deliver registration and health history forms with full payment to a Girl Scout service center.

Campers, day camp aides and aides-in-training need to complete the 2015 Day Camp Individual Registration Form.

Adult volunteers and tag-a-longs need to complete the 2015 Day Camp Volunteer Staff Registration Form.

• All participants (including adults and tag-a-longs) must complete the 2015 Day Camp Health History Form.

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• Camp confi rmations will be mailed to all participants (please do not call to check on placement).

Registering with a buddy• Girls who want to sign up for a unit together

must complete the Buddy Information section on the registration form and list each other’s name to guarantee placement together..

• Limit one buddy. Buddy must be entering the same grade in the fall. (Troops are not guaranteed to be placed in the same unit)

Multiple sessionsThere is no limit to the number of sessions each girl may attend (fi nancial assistance is available for one session only). A separate registration form is required for each session. You may make copies of the form, download it from our website, or request a copy from your service center. You do not need to submit additional copies of the health history form.

Applying for fi nancial assistance (PAG)Girl Scouts of Central Indiana is committed to providing a positive experience to every girl who wants to be a Girl Scout. Program Assistance Grants are provided so that a family’s economic status will not be a barrier to participation.

To apply, submit the Program Assistance Grant application with your camp registration form and health history form. A $10 deposit per girl is required. This deposit is not refundable unless your child cannot be placed into a session. Use a separate grant application per girl. Please do not mail in your PAG without your camp registration form. We can not process the PAG until the camp registration is received.

All applicants will be notifi ed by mail (in a separate letter from the confi rmation packet) as to the approval of the request.

All Program Assistance Grant information is kept strictly confi dential. Grants are available for one camp session per girl.

Registration closesRegistration closes 2 weeks before the beginning of each day camp session or when the session is full, whichever is fi rst.

Refund procedureThe day camp fee does not cover the entire cost of your child attending camp. The remainder is covered

by various funding sources that support Girl Scouts of Central Indiana. For this reason the refund policy is:

Refunds are given only if cancellation is received at least two weeks prior to sessions.

$25 of fee will be retained for handling charges.

Refunds are not given to no shows or campers leaving camp early due to personal reasons including homesickness, sports, family vacations, behavior, etc.

Questions and answers

1. What do I wear to day camp?Old clothes are the best and should include shorts or long pants, T-shirts or tank tops (no halters or midriffs), socks/shoes (closed-toe and heel only – no sandals), jacket or sweatshirt, raincoat or poncho if the weatherman predicts wet conditions.

What do I bring to day camp each day?Bring these items daily to camp in a backpack or similar type bag. Mark the bag with the camper’s name, unit name, and bus stop name or “car rider.”

• Hat or bandana• Swim suit and towel• Closed-toe-shoes• An extra pair of closed-toe-shoes (that you

don't mind getting wet)• A plastic grocery bag for wet close and shoes• Raincoat or rain poncho (if weather warrants it)• A water bottle (bottles with a screw on lid are

best; no bottles with straws please)• Sunscreen and insect repellent (non-aerosol)• Lunch for Monday-Wednesday

Is there anything my camper can't bring ?We do not allow any of the following at camp:

• Electronic devices (including cell phones and MP3 players)• Weapons, alcohol or tobacco products• Drugs (prescription and over-the-counter drugs must be turned in to the camp health supervisor)

If my camper has a game/event, can I pick her up and return her at anytime? We do appreciate all campers remaining at camp for the entire day. It is disruptive to your camper and the other campers in her unit, to pick her up midway through the day and bring her back.

If you wish to take your camper out of camp, either during the day or on the overnight, you will need

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to contact the camp director prior to or during check-in on the fi rst day. Your camper will not be able to return to camp until 8:30 a.m. the next day. Please provide a note with the day, time, reason, and who will be picking up, to the camp director on that day. If you have an evening event on the overnight, you may pick up your camper at 3:30 p.m.

What do I bring if I am staying overnight on Thursday? Bring these items to camp in a duffl e bag or similar type bag on Thursday. Place all items in a trash or water-resistant bag that the camper can carry. Please label all bags with the following information (duct tape and a permanent marker works best):

Camper name (First and Last name), Unit name• Light weight sleeping bag or bedroll (blankets)• This year we are opening extra outpost units

which means that some campers will be in tents. You will be informed prior to camp if your camper will be in one of these units. The tents will be provided but bedrolls will not.

• Fitted, twin sheet (to cover mattress; girls in primitive units will not need this)

• Pajamas or large T-shirt for sleeping in• Change of clothing, socks, underwear, etc.• Toothpaste, toothbrush, comb/hair brush• Towel, washcloth, soap• Flashlight with new batteries• Day pack items (carry daily – see list to left)• Extra trash bag (labeled) for return trip home –

many bags tear and a replacement is necessary

Typical day at camp

8:30-9 a.m. Arrive at camp

9:15-9:30 a.m. Flag ceremony

9:45-10:30 a.m. Art projects

10:45-11:30 a.m. Pool

11:45 a.m.-12:45 p.m. Lunch

1-2:45 p.m. Theme-specifi c activity

3-3:15 p.m. Flag ceremony

3:30-4 p.m. Depart camp

Session #1: June 3-5 • Ready, Set, Summer Sampler • $60 • Grades K-7School's out! Now is the time to get a sneak peek at what day camp at Sycamore Valley is all about. If you are ready to move and groove, get artsy, use your impagination and get messy; this is the session for you. There will NOT be an overnight in this fun day camp sampler. Daily drop-off is Wednesday, June 8 from 8:30-9 a.m. and pickup is Friday, June 12 from 3:30-4 p.m.

Session #2: June 8-12 • Movin' & Groovin' • $85 • Grades K-7 Do you like to dance? Don't worry if you don't know how, there will be plenty of opportunities to learn this week! This is your chance to have fun, play dress up, clown around, be silly and take home some new dance moves.

Session #3: June 15-19 • Artful Antics • $85 • Grades K-7 Release your inner creativity and get ready for a week of awesome art! This will be more than your normal arts and crafts week. Use nature to make art, make a photo frame for your camp photo and a camp memory book. This is just the beginning of what this week has to offer!

Session #4: June 22-26 • Off the Beaten Path • $85 • Grades K-7 Go off the beaten path and let your inner explorer run wild this week! Discover what is under that log, what lives in the creek bed, and what other creatures call Camp Sycamore Valley home! Come prepared to get down and dirty exploring all that camp has to offer!

Session #5: June 29-July 2 • A Mess to Impress • $70 • Grades K-7Are you ready to get messy? This week we are going to do all those things you are only allowed to do at camp! Roll in the mud, splatter the paint, play with your food and make other gooey arts and crafts. What are you waiting for? Come get your hands dirty, because the mess is up to you! The overnight will be Wednesday night instead of Thursday night.

Day camp sessions

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Camp sessions are open to all girls entering grades 2-8 in fall 2015. All girls who are registered Girl Scout members may attend. Girls who are no longer active in a troop or have never been members may attend camp by paying a one time fee of $30.* For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself.

*Includes Girl Scouts of the USA membership fee.

Please fi ll out the girl member registration form in the back of this book along with the camp registration form.

Resident camp staffMembers of our camp staff are enthusiastic, talented, fun-loving and caring individuals. They are selected based on their experience, ability to serve as role models and their genuine desire to work with children. Our staff is committed to creating a caring and supportive environment that respects each girl as an individual.

Staff candidates are recruited from colleges and universities, local community agencies and referrals. Individuals must be at least 18 years old and complete a thorough application process which includes a background check. The health and safety of our campers is always the fi rst priority of the staff.

Staff training prior to camp includes supervising and caring for campers, activity programming, fi rst aid and CPR, team building, and much more.

Car transportationParents should plan to drive their campers to and from camp. Drop off and pick up times are:

Monday drop off 2-3 p.m.

Friday pick up 11:30 a.m.-12:30 p.m.

How to register • Choose the camp session your camper would like to attend. Grade refers to grade camper will enter in fall 2015.

• Complete one 2015 Resident Camp Individual Registration Form for each camper and session. Please print clearly.

• If your camper wishes to attend more than one session, complete one registration form for each session.

• Online registration is also available at girlscoutsindiana.org if you are using a credit card to pay the full amount.

• Mail completed registration form with full or half payment to: Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive Suite 100 Indianapolis, IN 46214

OR fax completed forms with credit card information for full or half payment to 317.931.3346

OR deliver completed forms and full or half payment to a Girl Scouts of Central Indiana service center.

If applying for a Program Assistance Grant (PAG), please submit application with your registration form. A $10 deposit per girl is required.

• Full fee must be paid no later than: May 31 for all sessions. Failure to do so will result in loss of the reservation.

• A confi rmation packet including health form will be mailed to all registered individuals.

• Any incomplete forms or registrations without payment will be returned. If forms must be returned to you for any reason, the receipt date for processing purposes will be based on the date in which complete forms and payment (or PAG form) is received in our offi ce.

When to register Registration opens on Wednesday, January 21.

Registration closes Registration closes two weeks prior or when session is full.

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Refund procedure The fee for resident camp is not designed to cover the entire cost of a girl’s stay at camp. The remaining cost is covered by various funding sources that support Girl Scouts. For this reason the refund policy is as follows:

• Refunds are given only if cancellation is received two weeks prior to session.

• $25 of fee will be retained for handling charges. The $10 deposit for PAG’s will not be refunded if we place your child in a program .

• Refunds will not be given to campers who are no-shows or who leave camp early . No refunds will be made for a child leaving early regardless of the reason. We will try to place your camper in another session if she cannot attend camp due to a failed lice exam. If she cannot be placed, there will be no refund.

Questions and answersCan my daughter request to go to camp with a buddy?Resident camping is about camping with friends, both old and new. Girls may request to stay in the same unit with one girl in the same session. Please write the buddy’s name in the appropriate space on the application. Requests must be mutual and only one buddy will be honored. Please mail in the two forms at the same time or we might not be able to place both girls in the same session. Because making new friends is also important, only one request per girl, per unit will be honored.

Can I take my camper out of camp to play sports? Can I pick her up early?We do appreciate all campers remaining in camp for the entire session. It is disruptive to your daughter and the other campers in her unit if you pick her up midway through her session and bring her back a day later.

However, if you wish to take your camper out of camp, you will need to contact the camp director prior to or during check-in on the fi rst day. Your camper will need to be picked up at 3:30 p.m. and will not be able to return to camp until 8:30 a.m. the next day.

How may I contact my camper? May I visit or call her?

Parents and other family members may visit the camps during their designated open house. We do not accept visitors during resident camp as seeing a mom or dad may spark homesickness in many campers. Also, because telephone calls from home tend to increase the likelihood of homesickness, we ask that you refrain from calling camp. We need to keep our phone lines available for business and emergency purposes. We also ask that you do not allow your daughters to bring cell phones to camp. Parents may always call camp directors for an update on their daughter.

What health precautions are taken? Is a physical exam required?All campers attending camp this summer must have a medical history form that has been signed by their doctor, which means they need to have been seen by a doctor in the last 24 months. A resident camp health history and exam form will be included in camper’s confi rmation packet.

As part of our check-in procedures, all campers must be seen at the infi rmary on opening day.We will do a head and foot check and discuss any special needs with each camper. If your daughter is on medication, her counselors will administer her medication as noted on the bottle. Campers are required to turn in all medications, both prescribed and over-the-counter, in the original containers, to the health director on opening day.

What if my daughter has special needs? At camp, we make every effort to allow all girls to enjoy our camp sessions. If you have concerns about your daughter’s ability to participate in our camp, please call us before registering her for camp. For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself. Routine activities include hiking at least two miles each day, showering and changing clothes by herself, and walking up and down sizeable hills possibly in the dark with a buddy. If your daughter cannot do these activities without help, we can suggest other camp opportunities that she might enjoy. Unfortunately, we cannot offer one-on-one helpers for campers.

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How often do campers swim and shower? Weather permitting, all campers have the opportunity to swim and shower every day of their session with the exception of opening and closing days.

Will my daughter need money at camp? No, she will not have the opportunity to purchase anything while at camp. Snacks are free every afternoon and she will receive her T-shirt at the end of the session.

What if my daughter gets homesick? Because homesickness is common at camp, especially for fi rst time campers, our staff members are trained to provide a caring, supportive environment for your child. Homesickness usually passes in a day or two. Your encouraging attitude both before and during camp will help prevent homesickness. Please remember that campers who overcome homesickness have met a real challenge and can feel a sense of pride in themselves. If a camper’s homesickness should persist, the parents/ guardians will be notifi ed by the camp director. More information on homesickness will be mailed with confi rmations. Campers do not have access to phones and may not bring cell phones.

What if the weather is bad?While at camp, every counselor is in touch with the camp director who has access to a weather radio. We are aware of any storms headed our way and have procedures in place to protect our campers. Some activities may be affected by weather, and in this case refunds are not issued. Please keep in mind that there is only one phone line that does need to be kept open during inclement weather in case of emergency.

What grade does my daughter need to be in to attend camp sessions at camp?The grades listed are the grades that your daughters should be going into in the fall. All campers must be in grades 2-8 to attend resident camp this summer.

How can I prepare my camper?It is important for parents to talk with their camper about what to expect at camp this summer. Be sure to emphasize the good time she will have. The American Camp Association has great resources for parents available at campparents.org.

What is camp life like?All campers are expected to participate in all-camp kapers, including making their bed, maintaining their living area, and rotating responsibilities in the dining hall. Each camper is also responsible for her own personal care and grooming. Campers will sleep either in a unit house with their counselors in a separate room nearby, or in tents with the counselors in the unit. Also, campers will earn age-level appropriate Girl Scout recognitions.

What are the age restrictions for the adventurous activities? Archery 9 years old

Climbing wall 9 years old

Zip line 10 years old

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Typical day at camp

7:15 a.m. Wake up, showers (depending on unit)

8 a.m. Opening fl ag ceremony

8:15 a.m. Breakfast

9:30 a.m. Morning activities (art projects, swimming, archery)

Noon Lunch

1:30 p.m. Afternoon activities - nature hike, climbing, badges

4 p.m. Afternoon break/snack

4:45 p.m. Kapers, fl ag prep, or hopper duty

5:30 p.m. Closing fl ag ceremony

6 p.m. Dinner

7:15 p.m. Evening activity

9 p.m. Bedtime, showers depending on unit

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Resident sessionAnything Goes at Resident CampGrades: 2, 3, 4, 5, 6, 7, 8Join us for a fun fi lled week of mischief and fun! Come up with fun activites for your group to do during your stay, build forts, sleep in, go on a night hike, have an all camp lazy day, eat breakfast for dinner and watch an all camp moonlight movie!

$185

July 6-10

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Want to share summer camp with your Girl Scout troop? Join the Camp Sycamore Valley staff and other troops for a fun fi lled troop camping experience! We will supply activities, supplies and food for your troop. You will need to provide transportation. Activities will be ran by our camp staff, so experience is not necessary.

Troops will stay for three days and two nights. This is perfect for new troops who have not experienced campr or for those proofs that prefer to experience summer camp together. Troops will participate in many hands-on activities and enjoy crafts, outdoor cooking, swimming and other camp experiences. Join us for fun with other troops around Indiana!

LeadershipEach troop provides its own leadership through parents, leaders, and other family members. All adults must be registered Girl Scouts. A minimum of two adults must be in camp at all times. At least one must be 21 years of age; others may be 18 or older. Troops must meet adult to girl ratio per Safety-Wise.

During your stay we will provide activities and meals throughout the day and evening. The leaders’ responsibility will consist of supervising the girls at various activities, escorting them to the different places in camp, and providing programming for a small amount of down time.

TLC fees – per person, per sessionCamper fee ......................................................................$85

Adult fee ............................................................................ $25

Camper fee includes T-shirt, camp patch, and one badge.

All adults will receive a T-shirt and camp patch.

Full payment is due at time of registration, unless applying for fi nancial assistance.

How to register• Complete the 2015 Troops Love Camping

registration form.

• Mail completed form and full payment to:Girl Scouts of Central Indiana 2611 Waterfront Parkway East Drive Suite 100Indianapolis, IN 46214

Or fax completed form with credit card information to 317.931.3346

Or deliver completed form and full payment to a Girl Scout service center.

• If applying for a troop Program Assistance Grant (PAG), please submit it with your registration form. A $10 deposit per troop is required.

• A confi rmation packet will be mailed to all registered troops.

Any incomplete forms or registrations without payment will be returned. If forms must be returned to you for any reason, the receipt date for processing purposes will be based on the date in which complete forms and payment (or PAG form) is received in our offi ce.

Refund procedureThe camp fee does not cover the entire cost of your child attending camp. The remainder is covered by various funding sources that support Girl Scouts of Central Indiana. For this reason the refund policy is:

• Refunds are given only if cancellation is received two weeks prior to sessions.

• $25 of fee per troop will be retained for handling charges. The $10 deposit for PAG’s will not be refunded.

• Refunds are not given to no shows or campers leaving camp early due to personal reasons including homesickness, sports, family vacations, behavioral issues, etc.

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TLC sessions Date Days Camper min/max

July 13-15 Monday - Wednesday 40/160 July 15-17 Wednesday – Friday 40/160 July 20-22 Monday - Wednesday 40/160 July 22-24 Wednesday – Friday 40/160

Check-in is 3 p.m. and check out is at noon for all sessions.

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Family Camp at Camp Na Wa KwaJune 19-21

Here is a special opportunity for all Girl Scouts in central Indiana and their families!

You are invited to get away from the crowds and busy highways to explore the beautiful campgrounds at Camp NaWaKwa. You’ll share a wonderful family experience, meet other Girl Scout families, and make new friends! We have planned some activities to complement your weekend of leisure.

Get away from the city lights and noises to enjoy a quiet weekend at Camp NaWaKwa, located 10

minutes from Lieber State Park and Cagles Mill Lake.

Lifeguards will be on duty at the swimming pool and for canoeing on the lake. Other activity options include the climbing wall, zip line, archery, and hiking along the fossil beds.

Because we do not have unit houses at NaWaKwa, we will also offer an option to eat in our dining hall.

Four tent units – three consist of eight platform tents. One consists of two platform tents and two yurts. All four units have access to a fi re ring with sitting logs, kitchen shelter with picnic tables, running water, and pit latrine. No electricity.Fee: $50/family

One Cabin unit– consists of eight platform cabins, fi re ring with sitting logs, kitchen shelter with picnic tables, running water, and pit latrine. No electricity. Ramps to the cabins provide easy handicap access.Fee: $50/family

Primitive camping site –Site includes fi re ring, fi re grate. Water available from a pump. No electricity. Fee $25/family

Picnic area – available for day use.

Someone in the family must be a registered Girl Scout member. A family consists of individuals living in the same household.

Each family must bring their own equipment. No campers, trailers, or motor homes, no hookups. No pets, smoking or alcohol allowed.

No refunds for family camp weekends.

Complete the registration form and return it with check or money order payable to Girl Scouts of Central Indiana. Mail to:

Girl Scouts of Central Indiana2611 Waterfront Parkway East Drive Suite 100Indianapolis, IN 46214

*You may also pay by Visa or MasterCard by completing the information on the registration form. When paying by charge, you may fax your form to the Girl Scout Service Center at Indianapolis at 317.931.3346.

Confi rmations, additional information, and directions to camp will be mailed to you after your registration is received. If you have questions, call the Camping Services Department at 317.924.6800.

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Girl Power Journey CampGrades: 4, 5, 6, 7, 8, 9, 10Words and actions have power and you have the ability to infl uence others and create an ideal world. Do this at camp through a variety of teambuilding challenges, encouraging one another up the climbing wall and creating your own steps towards living in your ideal world. By the end of this session, you will earn one of the following journeys: Agent of Change, Media, or Girltopia. Registration available online.

$85

July 1-3

Day Camp at NaWaKwa

Divergent DaysGrades: K, 1, 2, 3, 4, 5, 6, 7“One choice can transform you.” Are you brave, peaceful, intelligent, selfl ess or honest? Or are you more than just one and considered divergent? Discover your faction by testing your climbing strength, orienteering skills, being a sister to every girl and so much more. Our Thursday evening celebration will end with a talent show and skits so bring your best act!

$110*non-member $140

June 8-12camp times 9 a.m.-3 p.m.

Transportation

Bus Stops:

Girl Scout Service Center at Terre Haute

Forest Park, Brazil parking lot

Pilot Travel Center, Brazil4376 North State Road 59, Brazil

Bus times will be determined two weeks prior to start of camp. Times could change depending on the numbers of campers at each stop.

Mini SessionsJust You and MeGrades: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12Girls, bring your favorite female adult with you to camp for the weekend. Come swim, climb, make crafts and enjoy all camp has to offer. You will stay in platform tents in one of Camp Nawakwa’s beautiful units. This is a perfect way to spend time together! Please fi ll out at council program registration to register for this program.

$35

June 12-14

Me & My GuyGrades: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12Go on an adventure with your favorite male adult this summer. Encourage one another up the climbing wall, splash each other on canoes, and strap on your hiking boots for a trek around camp. We have programs planned but you are free to enjoy your time together on your own. Please fi ll out at council program registration to register for this program.

$35

June 5-7

Females Rock Journey CampGrades: 4, 5, 6, 7, 8, 9, 10Discover why females rock and what we can do to become great leaders all while at camp! Challenge yourself on the low ropes course as you work together with a team to complete an end goal, focus your concentration at the archery range and face your fears down the zip line. By the end of this session, you will earn one of the following journeys: Amuse, Amaze, or Mission: Sisterhood.Registration available online.

$85

June 29-July 1

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…is an experience for girls from different troops and groups to meet outdoors each day. Girls attend as individual campers and are placed in units according to their grade in the fall. Please remember this is not troop camp and the entire troop will not be placed together in one unit. Attend day camp and make new friends!

At day camp you’ll try new craft projects, sing, discover the wonders of the outdoors and learn how to live with nature, play games, experiment with science, math, and technology, make new friends, make lasting memories, and for one night, your unit will remain in camp together. Bus transportation will not be offered Thursday night or Friday morning if you choose not to spend the night. Day camp is a great way to build your courage, confi dence, and character!

Day camp is for all girls in grades K-7. Girl Scouts from other councils, as well as non-members, are welcome to attend day camp. Girls regardless of their ability, may attend the session of their choice at camp. Girls who are no longer active in a troop or have never been members may attend camp by paying a one time fee of $30.* For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself.

*Includes Girl Scouts of the USA membership fee.

Please fi ll out the girl member registration form in the back of this book along with the camp registration form.

There are day camp aide opportunities for girls entering grades 8 through 12. A day camp aide assists the adults in leading a unit of girls at camp.

Volunteers make up most of the day camp staff.

Positions that are held by volunteers include directors, assistant directors, craft leaders, unit leaders, and assistant unit leaders. Won’t you please consider becoming a volunteer this summer? The camps also employ paid, seasonal personnel such as: health care supervisor, lifeguards, kitchen staff, tag-a-long unit staff, day camp aide instructors, bus monitors, and Math and Science Center staff.

Day camp begins at 9 a.m. and ends at 3:30 p.m., Monday through Friday. All campers will have the opportunity to spend one night (Thursday) at camp. On the overnight, girls will sleep in a tent/cabin with other girls. Adults will have separate sleeping quarters. Only registered adults volunteering the entire 5 days are allowed to stay for the overnight. Child care before and after hours is not provided.

Day camp is not the same as troop camping. At day camp, you and one friend will be assigned to a unit where you can work and play together all week. Each girl should list the other’s name on their registration form to guarantee placement together. Girls and parents should agree on their camper’s buddy. Often a buddy’s name is listed, but that girl already has arranged to be buddies with someone else. Placement together will not be possible if more than one name or different names are listed. Troops are not guaranteed to be placed together. Troop members attending the same session are not guaranteed the same unit assignments. All girls are placed in a unit based on the grade they will be entering in the fall. Camp buddies should be in the same grade.

Day camp at Camp Dellwood

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Camp open house | Sunday, May 31 | 2-4 p.m.2301 N Girls School Rd, Indianapolis, IN 46214Meisha Wide 317.924.6858

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Our camp is not open to visitors during camp sessions so that we may provide a safe and secure environment for all participants. All participants and staff must be registered prior to camp in order to attend. Please plan to visit the camps during the open house to see the units, staff and program areas.

MealsLunches and snacks for each day will be provided. Thursday dinner, evening snack, and Friday breakfast are provided for those staying overnight. To ensure camper safety, food allergies and/or special diets cannot be accommodated. No discount can be provided if a camper does not eat the camp meals or snacks.

TransportationBus riders: optional bus transportation is available. Girls may attend the session of their choice. However, transportation will only be provided according to the 2015 day camp bus transportation schedule per camp. Information will come via email a few days before each session with bus stop times. Typical bus pick up times fall between 7:15-8:30 a.m. and drop off times fall between 3:30-4:45 p.m. Bus stop selection can not be changed after being submitted with the registration due to the safety of the girls. Please note that bus transportation is not available on Thursday afternoons or Friday mornings due to the camp overnight. No price adjustment will be given if a girl chooses not to participate in the overnight.

Car riders: parents may drive their daughter to and from camp. Campers must be dropped off at camp no earlier than 8:30 a.m. and picked up between 3:40-4 p.m.

Day camp fees-per personDellwood Camper fee .................................................. $110

Non-Girl Scout fee* ...................................................... $140

Day camp Aide fee ...........................................................$25

Day camp Aide in Training fee ....................................$35

Tag-a-long program fee ................................................ $30

Full payment is due at time of registration. All fees include a day camp T-shirt and patch.

*Includes Girl Scouts of the USA membership fee. Please also fi ll out the girl membership form and the camp registration form in the back of the book.

Older girl leadership at day camp Day camp aides have long been a part of the day camp experience. Day camp aides provide a variety of skills, talents, and support to younger campers while continuing to develop their leadership skills in an adult supported and supervised environment.

If you want to be a day camp aide this summer, here’s what you need to do: Attend a day camp Aide-in-Training week at Camp Dellwood (for new day camp aides).

This training is designed to reinforce basic skills and to give a foundation for leading and working with younger girls in the outdoors. During the week the girls will also complete the Program Aide Training. Registered Girl Scouts must have completed 7th grade. Cost is $35. The fee of the training includes materials, a day camp T-shirt and patch.

Day Camp Aide-in-Training will be offered during the following day camp sessions:

Camp Dellwood• Session 1, June 8-12• Session 2, June 15-19• Session 3, June 22-26• Session 4, June 29-July 3All trainings are Monday through Friday with an overnight on Thursday night. You must complete the entire week of training including the overnight to be qualifi ed to become a day camp aide.

Experienced day camp aides and girls who have completed training may apply to be a day camp aide. Applicants may apply for a maximum of four sessions. The cost is $25 per session. The fee for day camp aides defrays transportation, meals and incidental expenses. The fee also includes a day camp T-shirt and patch. You must attend all fi ve days, including the overnight.

Join the fun!

Help get Camp Dellwood in tip-top shape!

Free lunch and T-shirt included!

See page 43 on the program side for more details!

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Do you enjoy the outdoors and have a passion for working with children? Are you physically able to walk around camp all day? If so, please consider volunteering at day camp this summer. Volunteers are the core of the day camp staff. This valuable learning experience would not be possible for the girls of central Indiana without volunteers. Interested parents and adults are invited to register. Each adult volunteer can send one girl to camp for free!

Volunteer selectionThe Camping Services Department in consultation with the day camp directors approve all registrations. The selection of staff is based on the qualifi cations of the applicant and the staffi ng needs of each session. For the safety of all campers, volunteers must be physically able to stand for long periods of time and walk on rough terrain All volunteers must be registered Girl Scout members and complete a background check. See forms provided.

Tag-a-long programIf you are a registered day camp volunteer attending all week and have a younger child, she or he may enjoy participating in the tag unit. Trained staff will provide activities on site for the child. Day camp volunteers can place a younger child in the tag unit for $30/child for the week. This fee includes a day camp T-shirt, patch, daily snack, meals on all days, bus transportation, and supplies. This fee cannot be pro-rated if your child does not stay every day. The tag unit is for the children of volunteer day camp staff only. Girls registering for the tag unit must be three through fi ve years of age; girls who have completed kindergarten should register for day camp as a Girl Scout Daisy. Boys registering for the tag unit must be three to eight years of age. All children registering for the tag unit must be out of diapers.

Volunteer staff benefi ts• Attend day camp for free• Waive the camp fee for the girl of your choice• Receive a camp T-shirt and patch• Make a difference in a girl’s life

To waive a camp fee, volunteers must attend a pre-camp meeting, attend day camp fi ve full days (Monday through Friday), and stay on the overnight (Thursday night).

Please understand that all adult volunteers are expected to volunteer Monday through Friday and stay on the overnight (Thursday night). This is for the safety and well being of our campers. No exceptions!

Volunteer trainingAll day camp volunteers must attend the pre-camp meeting for the session(s) they are assigned to. At this meeting, volunteers will receive a day camp volunteer staff manual; receive unit assignments, unit lists, and unit schedules; learn about the specifi cs of the session; meet the people they will be volunteering with; and work with others to develop activities for their unit.

Pre-camp meeting datesCamp DellwoodSession 1: Monday, May 18, 6-9 p.m.Session 2: Tuesday, June 2, 6:30-9 p.m.Session 3: Thursday, May 28, 7-9 p.m. Session 4: Tuesday, June 16, 6:30-9 p.m.Session 5: Tuesday, June 30, 6:30-9 p.m. Session 6: Tuesday, July 7, 6-9 p.m.

Day camp skills trainingThis training is highly recommended for fi rst time adults planning to volunteer at Dellwood day camp this summer. Attending this training will orient you to Camp Dellwood, make you more familiar with your role at camp, and help you enjoy your volunteer week. We will take a walking tour of camp so you can learn your way around and recognize sites and landmarks. Participants will get hands-on training on equipment use, cleaning procedures, and fi re building. Dress appropriately for training and hiking, and wear comfortable, closed-toed-shoes. Volunteers will also have to attend the pre-camp meeting for their specifi c session. Training will start at Camp Dellwood's Program Center.

Camp DellwoodTuesday, June 2, 6-9 p.m.Wednesday, June 23, 6-9 p.m.

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When to registerRegistration opens Wednesday, January 21.

How to register- four great options!1. Register online at girlscoutsindiana.org

2. Mail registration and health history forms with full payment to: Attn: Camp RegistrationGirl Scouts of Central Indiana 2611 Waterfront Parkway East Drive Suite 100Indianapolis, IN 46214

3. Fax registration and health history forms with full credit card payment to: 317.931.3346.

4. Deliver registration and health history forms with full payment to a Girl Scout service center.

Campers, day camp aides and aides-in-training need to complete the 2015 Day Camp Individual Registration Form.

Adult volunteers and tag-a-longs need to complete the 2015 Day Camp Volunteer Staff Registration Form.

• All participants (including adults and tag-a-longs) must complete the 2015 Day Camp Health History Form.

• Camp confi rmations will be emailed to all participants (please do not call to check on placement).

Registering with a buddy• Girls who want to sign up for a unit together

must complete the Buddy Information section on the registration form and list each other’s name to guarantee placement together..

• Limit one buddy. Buddy must be entering the same grade in the fall. Troops are not guaranteed to be placed in the same unit.

Multiple sessionsThere is no limit to the number of sessions each girl may attend (fi nancial assistance is available for one session only). A separate registration form is required for each session. You may make copies of the form, download it from our website, or request a copy from your service center. You do not need to submit additional copies of the health history form.

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assistance (PAG)Girl Scouts of Central Indiana is committed to providing a positive experience to every girl who wants to be a Girl Scout. Program Assistance Grants are provided so that a family’s economic status will not be a barrier to participation.

To apply, submit the Program Assistance Grant application with your camp registration form and health history form. A $10 deposit per girl is required. This deposit is not refundable unless your child cannot be placed into a session. Use a separate grant application per girl. Please do not mail in your PAG without your camp registration form. We can not process the PAG until the camp registration is received.

All applicants will be notifi ed via email with their confi rmation packet as to the approval of the request.

All Program Assistance Grant information is kept strictly confi dential. Grants are available for one camp session per girl.

Camp feesFull fee must be paid no later than May 31 for all camp dates. Failure to do so will result in loss of reservation.

Registration closesRegistration closes 2 weeks before the beginning of each day camp session or when session is full, whichever is fi rst.

Refund procedureThe day camp fee does not cover the entire cost of your child attending camp. The remainder is covered by various funding sources that support Girl Scouts of Central Indiana. For this reason the refund policy is:

Refunds are given only if cancellation is received at least two weeks prior to sessions.

$25 of fee will be retained for handling charges.

Refunds are not given to no shows or campers leaving camp early due to personal reasons including homesickness, sports, family vacations, behavior, etc.

Questions and answersWhat do I wear to day camp?Old clothes are the best and should include shorts or long pants, T-shirts or tank tops (no halters or midriffs), socks/shoes (closed-toe and heel only – no sandals or crocs), jacket or sweatshirt, raincoat or poncho if the weatherman predicts wet conditions.

What do I bring to day camp each day?Bring these items daily to camp in a backpack or similar type bag. Mark the bag with the camper’s name, unit name, and bus stop name or “car rider.”

• Hat or bandana• Swim suit and towel• Raincoat or rain poncho (if weather warrants it)• A water bottle (bottles with a screw on lid are

best; no bottles with straws please)• Sunscreen and insect repellent (non-aerosol)

We do not allow any of the following at camp:• Electronic devices (including cell phones and MP3 players)• Weapons, alcohol or tobacco products• Drugs (prescription and over-the-counter drugs must be turned into Camp Health Supervisor)

What do I bring if I am staying overnight on Thursday? Bring these items to camp in a duffl e bag or similar type bag on Thursday. Place all items in a trash or water-resistant bag that the camper can carry. Please label all bags with the following information (duct tape and a permanent marker works best): Camper name (fi rst and last), unit name, bus stop name or "car rider"

• Light weight sleeping bag or bedroll (blankets)• Fitted, twin sheet (to cover mattress; girls in

primitive units will not need this)• Pajamas or large T-shirt for sleeping in• Change of clothing, socks, underwear, etc.• Toothpaste, toothbrush, comb/hair brush• Towel, washcloth, soap• Flashlight with new batteries• Day pack items (carry daily – see list on left)• Extra trash bag (labeled) for return trip home –

many bags tear and a replacement is necessary.

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Session #1: June 8-12 • Connie Holzhausen, volunteer director • It's a Bug's Life Service unit Code Bus stop location Bus stop address

Center Grove D1 North Grove Elementary School 3280 W Fairview Rd, Greenwood D2 Center Grove Elementary School 2455 S Morgantown Rd, Greenwood

Danwood D3 Danville Parks and Recreation 49 N Wayne, Danville

Fountain Square D41 Paul I. Miller School #114 2251 Sloan Ave, Indianapolis

Redbud D4 Trafalgar Library 424 E Tower, Trafalgar D5 Needham Elementary School 1399 Upper Shelbyville Rd, Franklin D6 East Side Elementary School 810 E Main Cross St, Edinburgh

Southport D45 Southport High School 971 E Banta Rd, Indianapolis Wa-Di-O-Ni D7 Whiteland United Methodist Church 300 W Main St, Whiteland

Wagon Trail D8 Brentwood Elementary School 1630 E Oliver Ave, Plainfi eld

Woodland D9 Southwest Elementary School 619 W Smith Valley Rd, Greenwood

Aide-in-Training Complete individual registration form

Session #2: June 15-19 • Jennifer Burke, volunteer director • Disney Days Service unit Code Bus stop location Bus stop address

Beech Grove D10 Central Elementary School 64 N 10th Ave, Beech Grove

Carmel East D11 Forest Dale Elementary School 10721 Lakeshore Dr W, Carmel

Glenns Valley D12 Abraham Lincoln Elementary School 5241 Brehob Rd, Indianapolis

Hancock D13 New Palestine High School 4485 Victory Ln (off US 52), New Palestine

D14 Greenfi eld Girl Scout House 230 W North St, Greenfi eld

Wa-Mo-Na D15 Paul Hadley Middle School 200 W Carlisle St, Mooresville

Aide-in-Training Complete individual registration form

Session #3: June 22-26 • Roberta Nance, volunteer director • Friends Forever Service unit Code Bus stop location Bus stop address

Carmel Central D39 Smoky Row Elementary School 900 W 136th St, Carmel

Carmel West D16 Towne Meadow Elementary School 10850 Towne Rd, Carmel

Fulton D17 Chapel Glen Elementary School 701 Lansdowne Rd, Indianapolis

Lourdes|Greater D18 Marsh Supermarket 6243 E Washington St, Indianapolis Irvington

Manuka D19 Marsh Supermarket 17901 River Ave, Noblesville

D20 Hamilton Heights Elementary School 25150 SR 19, Arcadia

Warren D21 Hawthorne Elementary School 8301 E Rawles Ave, Indianapolis D22 Old Bethel United Methodist Church 7995 E 21st St, Indianapolis

West Indy D23 William Penn School #49 1720 W Wilkins St, Indianapolis

D24 K-Mart 6780 W Washington St, Indianapolis

Aide-in-Training Complete individual registration form

To assist in determining the closest bus stop, addresses of bus stop locations are included in the schedule. Transportation is provided for service unit’s scheduled week only. If your camper is unable to attend the scheduled week, she may attend any week, but transportation is not

provided from your area. Note: If transportation is needed, she will need to use one of the bus stops listed under the particular session she plans to attend. Pick up and drop off times will be sent one week prior to the start of your camp session. Bus stops and times are subject to change.

Camp Dellwood day camp bus transportationC

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Session #4: June 29-July 3 • Betsy Perkins, volunteer director • Having S'more Fun Service unit Code Bus stop location Bus stop address

Acorn House D25 Barnes United Methodist Church 900 W 30th St, Indianapolis D26 Center for Inquiry, IPS 302 725 N New Jersey, Indianapolis Eagle Trails D27 Lew Wallace School #107 3307 Ashway Dr, Indianapolis

Hunter D28 Messiah Lutheran Church 801 S Green St, Brownsburg D29 Pittsboro United Methodist Church 227 E Main St, Pittsboro

Mt. Vernon Trails D30 McCordsville United Methodist Church 6247 Pendleton Pike, McCordsville

Pike D42 Lincoln Middle School 5353 W 71st St, Indianapolis

Sterling D31 Boone County 4-H Fairgrounds 1300 E 100 S, Lebanon

Zionsville D32 Zionsville Lions Club Park 115 S Elm St, Zionsville

Aide-in-Training Complete individual registration form

Session #5: July 13-17 • Erica Morgan, volunteer director • Boot Camp Service unit Code Bus stop location Bus stop address

Decatur D33 Decatur Middle School 5108 S High School Rd, Indianapolis

Fishers D34 Fishers Elementary School 11442 Lantern Rd, Fishers

Hamilton Southeastern D35 Fall Creek Intermediate School 12011 Olio Rd, Fishers

Ke-Bert/Twinbrook D36 First Trinity Lutheran Church 5321 E 42nd St, Indianapolis

Potowatami D43 Nora Elementary School 1000 E 91st St, Indianapolis D44 Eastwood Middle School 4401 E 62nd St, Indianapolis

Roadrunner D37 Castleton United Methodist Church 7160 Shadeland Station, Indianapolis (use lot at address above, NOT 71st and Shadeland)

D38 Faith Presbyterian Church 8170 Hague Rd, Indianapolis

Session #6: July 20-24 • Donna Killian, volunteer director • Digi Camp Service unit Code Bus stop location Bus stop address

Avon D46 Avon Intermediate School East 174 S SR 267, Avon

Franklin Township D47 Franklin Township Middle School 6019 S Franklin Rd, Indianapolis

Jo-She-We D48 Christ United Methodist Church, Westfi eld 318 N Union St, Westfi eld

Lawrence D49 Craig Middle School 6501 Sunnyside Rd, Indianapolis D50 Belzer Middle School 7555 E 56th St, Indianapolis

Shelby D51 Wal-Mart Supercenter Store 2500 Progress Pkwy, Shelbyville

Winding Trails D52 Crooked Creek Elementary School 2150 Kessler Blvd W Dr, Indianapolis D53 Spring Mill Elementary School 8250 Spring Mill Rd, Indianapolis

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… is a camping experience for girls to live in the outdoors for fi ve or more days. Girls from different troops and/or groups sign up as individual campers and are placed in units according to their desired session. The girls and their counselors plan activities, taking advantage of the opportunities available to them.

Campers! Start planning now for a summer you will never forget. Resident camp is an experience fi lled with excitement, delight, laughter, and friendship. For more information about the various camps, please visit our website at girlscoutsindiana.org.

Resident camp staffMembers of our camp staff are enthusiastic, talented, fun-loving and caring individuals. They are selected based on their experience, ability to serve as role models and their genuine desire to work with children. Our staff is committed to creating a caring and supportive environment that respects each girl as an individual.

Staff candidates are recruited from colleges and universities, local community agencies and referrals. Individuals must be at least 18 years old and complete a thorough application process which includes a background check. The health and safety of our campers is always the fi rst priority of the staff.

Staff training prior to camp includes supervising and caring for campers, activity programming, fi rst aid and CPR, team building, and much more.

How to register• Complete one 2015 Resident Camp Individual

Registration Form for each camper and session. Please print clearly.

• List a second and third choice only if your camper wants placed in those sessions. We will refer to those choices if we cannot place a camper in her fi rst choice.

• If your camper wishes to attend more than one session, complete one registration form for each session and number the forms in order of preference.

• Online registration is also available at girlscoutsindiana.org if you are using a credit card to pay the full amount.

• Mail completed registration form with full or half payment to:Girl Scouts of Central Indiana2611 Waterfront Parkway East Drive Suite 100Indianapolis, IN 46214

OR fax completed forms with credit card information for full or half payment to 317.931.3346

OR deliver completed forms and full or half payment to a Girl Scouts of Central Indiana service center.

If applying for a Program Assistance Grant (PAG), please submit application with your registration form. A $10 deposit per girl is required.

• Full fee must be paid no later than: May 1 for all camp datesFailure to do so will result in loss of the reservation.

• A confi rmation packet including health form will be emailed to all registered individuals.

Resident camp at Camp Gallahue

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Camp open houseSunday, May 31 | 2-4 p.m.6758 Bear Creek Rd, Indianapolis, IN 46160Barb Nichols 317.924.6864

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• Any incomplete forms or registrations without payment will be returned. If forms must be returned to you for any reason, the receipt date for processing purposes will be based on the date in which complete forms and payment (or PAG form) is received in our offi ce.

When to register• Registration opens on Wednesday, January 21.

Registration closes• Registration closes two weeks prior or when

session is full.

Refund procedureThe fee for resident camp is not designed to cover the entire cost of a girl’s stay at camp. The remaining cost is covered by various funding sources that support Girl Scouts. For this reason the refund policy is as follows:

• Bus fees are not refundable.

• Refunds are given only if cancellation is received two weeks prior to session.

• $25 of fee will be retained for handling charges. The $10 deposit for PAG’s will not be refunded if we place your child in a program .

• Refunds will not be given to campers who are no-shows or who leave camp early . No refunds will be made for a child leaving early regardless of the reason. We will try to place your daughter in another session if she cannot attend camp for failure to pass the lice exam. If she cannot be placed, there will not be a refund.

Car transportation Parents are welcome to drive their campers to and from camp. Drop off and pick up times are:

Camp GallahueSunday drop off 2 - 4 p.m. Friday pick up 11:30 a.m.-12:30 p.m.

Bus transportationOptional bus transportation is available. Qualifi ed public carriers transport girls to and from Camp Gallahue. The bus fee is $35 per person. This fee is non-refundable, not included in the camp fee, and is $35 regardless if the camper is utilizing the bus for one-way or round-trip transportation. The following bus stops are used for resident camp bus transportation. Please plan to arrive 15-20 minutes prior to pick-up and drop-off times. We

will be conducting head checks before children will be allowed to board buses/vans. The buses must leave at the scheduled time to make it to the next stop on time. We will not be able to wait.

Girl Scout Service Center at Kokomo815 W Superior St, Kokomo

Sunday check-in 11 a.m.Sunday bus leaves 11:30 a.m. (bus to camp)Friday drop off 3 p.m. (bus from camp)

Girl Scout Service Center at Lafayette615 N 18th St, Lafayette

Sunday check-in 11:30 a.m.Sunday bus leaves noon (bus to camp)Friday drop off 2:30 p.m. (bus from camp)

Flying J Truck Stop in SpicelandHighway Location: I-70 Exit 1235300 S State Road 3

Sunday check-in 12:15 p.m.Sunday bus leaves 12:45 p.m. (bus to camp)Friday drop off 1:30 p.m. (bus from camp)

Girl Scout Service Center at Terre Haute1100 Girl Scout Ln, Terre Haute

Sunday check-in noonSunday bus leaves 12:30 p.m. (bus to camp)Friday drop off 1:30 p.m. (bus from camp)

Nora Elementary School1000 E 91st St, Indianapolis (northside)

Sunday bus check-in noonSunday bus leaves 12:30 p.m. (bus to camp)Friday drop off 1:45 p.m. (bus from camp)

Girl Scout Service Center at Indianapolis2611 Waterfront Pkwy E Dr (west side of Building 1), Indianapolis

Sunday bus check-in 12:45 p.m.Sunday bus leaves 1:15 p.m. (bus to camp)Friday drop off 1:30 p.m. (bus from camp)

O’Malia’s Food Market8904 S Meridian St, Indianapolis (southside)

Sunday bus check-in 1:30 p.m.Sunday bus leaves 2 p.m. (bus to camp)Friday drop off 12:30 p.m. (bus from camp)

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Questions and answersWho may attend Girl Scout camp?Camp sessions are open to all girls entering grades 2-12 in the fall regardless of race, color, creed, or national origin. All girls who are registered Girl Scout members may attend. Girls who are no longer active in a troop or have never been members may attend camp by paying a one time fee of $30.* For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself.

*Includes Girl Scouts of the USA membership fee.

Please fi ll out the girl member registration form in the back of this book along with the camp registration form.

Can my daughter request to go to camp with a buddy?Resident camping is about camping with friends, both old and new. Girls may request to stay in the same unit with one girl in the same session. Please write the buddy’s name in the appropriate space on the application. Requests must be mutual and only one buddy will be honored. Please mail in the two forms at the same time or we might not be able to place both girls in the same session. Because making new friends is also important, only one request per girl, per unit will be honored.

Can I take my camper out of camp to play sports? Can I pick her up early?We do appreciate all campers remaining in camp for the entire session. It is disruptive to your daughter and the other campers in her unit if you pick her up midway through her session and bring her back a day later.

How may I contact my camper? May I visit or call her?Parents and other family members may visit the camps during their designated open house. We do not accept visitors during resident camp as seeing a mom or dad may spark homesickness in many campers. Also, because telephone calls from home tend to increase the likelihood of homesickness, we ask that you refrain from calling camp. We need to keep our phone lines available for business and emergency purposes. We also ask that you do not allow your daughters to bring

cell phones to camp. Parents are always welcome to call the camp director for an update on their daughter.

What health precautions are taken? Is a physical exam required?All campers attending camp this summer must have a medical history form that has been signed by their doctor, which means they need to have been seen by a doctor in the last 24 months. A resident camp health history and exam form will be included in the camper’s confi rmation packet. As part of our check-in procedures, all campers must be seen at the infi rmary on opening day. We will do a head check and discuss any special needs with each camper. If your daughter is on medication, we will administer her medication as noted on the bottle. Campers are required to turn in all medications, both prescribed and over-the-counter, in the original containers, to the health director on opening day.

What if my daughter has special needs?At camp, we make every effort to allow all girls to enjoy our camp sessions. If you have concerns about your daughter’s ability to participate in our camp, please call us before registering her for camp. For girls with a chronic illness or disability, a written statement from her physician is required and must indicate the girl can participate in routine activities without harm to herself. Routine activities include hiking at least two miles each day, living in a tent with steps, showering and changing clothes by herself, and walking up and down sizeable hills possibly in the dark with a buddy. If your daughter cannot do these activities without help, we can suggest other camp opportunities that she might enjoy. Unfortunately, we cannot offer one-on-one helpers for campers.

During the horse session, how many lessons will she have? What might she learn about horses at camp?Weather permitting, girls in Yearlings will go riding in the ring two times. They will also have two ground lessons. Campers in Hoofprints will be split into four riding groups. Each day, the groups will rotate through cleaning, tacking, and riding the horses. Each girl will have time to ride each day, not including opening day, closing day, and Sundays. Girls attending Ringmasters, and Mini Wranglers and Wranglers will also have time to ride each day. They will spend some of their time

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at the barn learning more advanced horse care and do some trail riding. Yearlings will not leave the riding ring.

How often do campers swim and shower?Weather permitting, all campers have the opportunity to swim and shower every day of their session with the exception of opening and closing days.

Will my daughter need money at camp?No, she will not have the opportunity to purchase anything while at camp. She will receive her T-shirt at the end of the session. If, however, your daughter is in a session that will be traveling out of camp, you may send extra money along with her. We ask that your daughter does not bring an excessive amount, as her needs will be taken care of while attending camp. The money you send will be spent on anything she wants.

What if my daughter gets homesick?Because homesickness is common at camp, especially for fi rst time campers, our staff members are trained to provide a caring, supportive environment for your child. Homesickness usually passes in a day or two. Please do not be alarmed if the fi rst letter you receive from your daughter refl ects her feeling of homesickness. It was probably written at a low time, and by the time you receive it your daughter is having a great time playing with her new friends. Your encouraging attitude both before and during camp will help prevent homesickness. Please remember that campers who overcome homesickness have met a real challenge and can feel a sense of pride in themselves. If a camper’s homesickness should persist, the parents/guardians will be notifi ed by the camp director. More information on homesickness will be mailed with confi rmations. Campers do not have access to phones and may not bring cell phones.

What if the weather is bad?While at camp, every counselor is in touch with the camp director who has access to a weather radio. We are aware of any storms headed our way and have procedures in place to protect our campers. Some activities may be affected by weather, and in this case refunds are not issued. Please keep in mind that there is only one phone line that does need to be kept open during inclement weather in case of emergency.

What grade does my daughter need to be in to attend camp sessions at camp?The grades listed for each session are the grades that your daughters should be going into in the fall. All campers must be entering second grade or higher to attend resident camp this summer.

How can I prepare my camper?It is important for parents to talk with their camper about what to expect at camp this summer. Be sure to emphasize the good time she will have. The American Camp Association has great resources for parents available at campparents.org.

What is camp life like?All campers are expected to participate in all-camp kapers, including making their bed, maintaining their living area, and rotating responsibilities in the dining hall. Each camper is also responsible for her own personal care and grooming. Campers will sleep either in a unit house with their counselors in a separate room nearby, or in platform tents with the counselors in their own tent in the unit. Campers are given a voice in planning all activities, which could include art projects, swimming, cookouts, and campfi re activities.

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quiz

Take the quiz and fi nd out! Circle the answer that best describes you. Add up the numbers for your total score.

1 = NO WAY 2 = MAYBE 3 = FOR SURE!

FOR GIRLS:1 2 3 You enjoy staying overnight at a friend's house.

1 2 3 You're good at being part of a team.

1 2 3 You shampoo and brush/comb your own hair.

1 2 3 When you see a bug, spider, or mouse, you don't like it, but you can handle it.

1 2 3 You make your own bed and keep track of your own things.

1 2 3 You love to make new friends and do things with other girls.

1 2 3 You like sleeping in an outdoor platform tent.

1 2 3 You like to help plan activities that you are participating in.

1 2 3 Walking to another building to use the bathroom and sink is no big deal.

1 2 3 You're okay sleeping in a tent with 3-4 other girls and an adult nearby.

1 2 3 You're willing to help with Kapers (camp chores: cleaning, setting tables, etc.).

1 2 3 You love singing songs, playing games having lots of fun!

1 2 3 You live by the Girl Scout Law.

1 2 3 You can't wait to get to camp!

FOR PARENTS:1 2 3 You relax and enjoy yourself when your daughter is at a sleepover.

1 2 3 It would be fun only communicating by snail mail while your daughter is away.

1 2 3 You would be okay following the policies and procedures that apply to camp.

1 2 3 You're prepared to not see your daughter for several days.

1 2 3 You're comfortable with your daughter living and playing in an outdoor, rustic setting where it may rain and there are things such as bugs and spiders.

1 2 3 You're willing to work with your daughter to ensure she is comfortable with being more independent at camp than she might be used to.

1 2 3 You believe Girl Scout camp provides girls with a fun and rewarding experience that builds girls of courage, confi dence, and character.

1 2 3 You trust the camp director and counselors with your daughter's safety.

1 2 3 You think your daughter would enjoy sleeping in a tent with 3-4 other girls.

1 2 3 You're confi dent in your daughter's ability to maintain her hygiene.

1 2 3 You're confi dent in your daughter's ability to make her own bed and keep track of her own things.

Are you ready for camp?

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FOR GIRLS

_______ TOTAL POINTS

If you scored:14-25 pointsYou're adventurous, but it might be a good idea for you to wait until next year to come to resident camp.

26-35 pointsYou might enjoy a mini session or bring a buddy with you to camp. You'll feel more comfortable!

36-45 pointsYou're a pro! We'll see you at camp.

FOR PARENTS

_______ TOTAL POINTS

If you scored:11-18 pointsIt might be a good idea for your Girl Scout to wait until next year to come to resident camp.

26-35 pointsYour Girl Scout might enjoy having a buddy to make her feel more comfortable.

36-45 pointsYou and your Girl Scout are ready for this new adventure! You're confi dent in her abilities and willing to help her prepare.

Typical day at resident camp7:15 a.m. Wake up

8:15 a.m. Breakfast

9 a.m. Opening fl ag ceremony

9:30 a.m. Morning activities (arts and crafts, canoeing, nature)

Noon Lunch

1:30 p.m. Afternoon activities (swimming, arts and crafts, nature)

Late afternoon showers, resting (depends on unit)

6 p.m. Dinner

7:15 p.m. Closing fl ag ceremony

7:30 p.m. Evening activity

9:30-10 p.m. Lights out (depends on age)

Typical day at horse camp6 a.m. Wake up / breakfast (patrols take turns getting up early)

6:30 a.m. Round up horses from pasture; take turns grooming, saddling, riding, cleaning bar

Noon Lunch

1:30 p.m. Swimming

2:30 p.m. Afternoon activities (art projects, nature)

6 p.m. Dinner

7:15 p.m. Closing fl ag ceremony

7:30 p.m. Showers and ground lessons at barn

9:30 p.m. Lights out (depends on age)

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Ardath Village Hillcrest Reservation

Session 1June 7-12

Surf DivasGrades 4-8

You Can't Do That at Camp

Grades 4-6

Best Day EverGrades 2-5

Hoofprints IGrades 6-8

Session 2 June 14-19

Art AttackGrades 4-8

Slumber PartyGrades 5-8

Pony Tales 1Grades 2-5

Session 3 June 21-26

AdventurelandGrades 6-12

Hawaiian LuauGrades 5-8

Sampler 1Grades 2-5

Saddle ClubGrades 4-8

Session 4June 28-July 3

Under the Sea Grades 4-8

Summer FunGrades 5-9

Olaf's Summer Adventures Grades 2-5

Session 5July 5-10

Camp Creatures

Grades 4-8

Hagrid's First Years

Grades 4-6

Pony Tales 2Grades 2-5

YearlingsGrades 4-9

Session 6July 12-17

Kamp KatnissGrades 5-8

Night OwlsGrades 4-6

Sampler 2 Grades 2-5

Hoofprints 2Grades 6-8

Session 7July 19-24

Color WarsGrades 5-9

Horse and Goggles

Grades 4-8

Aqua SamplerGrades 2-5

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Care and Keeping of Magical Creatures

Grades 4-9

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Art Colony Harley's Hill 12 Valley 1 Valley 2 Valley 3

Mystery of the Mysterious

Code Grades 5-9 Ringmasters

Grades 7-10Buck Masters

Grades 7-9Sleep with the

Wloves Grades 6-12

Goonies Grades 4-8

Hogwart's Express

Grades 5-8

Goonies Grades 4-8

Gallahue's Sailing

RegattaGrades 6-12

District Gallahue

Grades 6-12

Field DayGrades 6-8

Discover Chicago

Grades 7-12

Outdoors and S'mores

Grades 6-8

Light's OutGrades 4-8

Splendid Spelunking

Grades 6-12

Cathching Fire

Grades 6-12

Indiana JaneGrades 5-9

SnapshotsGrades 6-12

Mini Wranglers

Grades 8-10

Ring Masters 2Grades 7-10

TrailblazersGrades 7-9

Camp JamGrades 6-12

Moonlight MischiefGrades 5-8

Canoe Trek

Grades 6-12

Wrangler 2

Grades 9-12

Coaster Crazy

Grades 7-12

Wrangler 1

Grades 9-12

Wondering adventures Grades 8-12

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Canoe Trek • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12This session is designed for girls who are voyagers at heart, longing to paddle the beautiful waters of Indiana. We will spend two days at camp practicing our paddling skills and two days out of camp canoeing along an Indiana river.

$250

June 7-12

Coaster Crazy • 1 week Grades: 7, 8, 9, 10, 11, 12Let’s go crazy and visit two theme parks in one week! Get ready to test your nerves on the rollercoasters and at the water parks! First, come to camp and enjoy time at Gallahue getting to know your new friends and counselors. Then we will pack our bags and head off to all the thrills! We will camp near the theme parks. Be ready to camp out in a tent!

$325

June 14-19

Discover Chicago • 1 weekGrades: 7, 8, 9, 10, 11, 12Visit Chicago and discover art, drama, water taxis, lots of shopping, and play in one of the great lakes! Chicago is a great city to visit in the summer, enjoy the Navy Pier, walking along the magnifi cent mile, and visiting Millennium Park—discover all of this and more. There is something for everyone to do! We will travel by school bus and stay in a hostel Monday through Thursday. End the week back at camp before you leave on Friday. Bring comfortable shoes; we will be walking a lot.

$325

June 28-July 3

Sleep with the Wolves • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12What could be more fun than going to Gallahue AND getting to go to Wolf Park in Lafayette and spend one night with the wolves? First, come to Gallahue and take part in all the camp activities; swimming, boating, archery and more! Then we will take a trip to Wolf Park to spend the night observing the wolves in their habitat! Don’t worry- we sleep inside a building, not actually with the wolves!

$250

June 14-19

Splendid Spelunking • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12In this session we will travel to the caves of southern Indiana to explore the stalagmites and stalactites! Come to camp to participate in all our camp activities before heading down to explore. Get really muddy! Girls must be able to ride in a van and not get car sick and be able to crawl through tight spaces. We will have a splendid time!

$250

July 5-10

Wondering Adventures • 2 weeksGrades: 8, 9, 10, 11, 12Let’s wonder through Indiana. Choose what you want to do! We could travel to different state parks, shop in Nashville, try canoeing on a river close by, or even go to a drive-in movie! This unit is two weeks long; the girls stay over the weekend and do not have parent visits. The unit will plan their trips when they arrive to camp. Let’s wonder Indiana!

$350

June 7-19

Trip unitsdenotes a session that is new this year

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Horse unitsAll camp sessions will swim every day; do crafts twice a week, cook-out, canoe and other types of boating along with the themed activities described.

Weather permitting, all horse units will ride as scheduled.

denotes a session that is new this year

Girl Scouts of Central Indiana offers a wide range of horseback riding programs aimed to help girls experience the joy and adventure of this exciting sport. Whether a girl dreams of being an Olympian, riding in rodeo, or simply loves to ride horses every summer, campers will be taught in a safe and comfortable learning environment. Our instructors all have previous experience teaching horseback riding, and provide close and constant supervision during all aspects of the riding program.

Emphasis in all programs and levels is on skill development, progression and expanding knowledge of horses and horse care. Girls will take part in the horse care and management by feeding, cleaning and grooming. Within their registered program, campers are placed in classes based on their skill level. Classes are kept small with a ratio of at least 1 instructor to 6 campers. Campers in riding programs will also participate in other camp areas and activities.

Care and Keeping of Magical Creatures • 1 weekGrades 5, 6, 7, 8, 9Do you know what a Bowtruckle is? Or a blast-ended Skrewt? What should you give a sick unicorn? This unit will help you earn your O.W.L. while also riding our horses! Enjoy the world of Harry Potter’s weird animals while spending time at our barns. By completing your O.W.L at camp you could become a magizoologist!

Note: This is a horse unit where we teach horseback riding with other fun!

$200

June 28-July 3

Hoofprints • 2 weeksGrades: 6, 7, 8What could be better than being with a group of girls who love horses as much as you do? Learn riding skills and how to care for horses. Spend time each day grooming, tacking, riding horses, and learn the basics so you can move on to our more advanced horse activities. You'll also get to experience bareback riding, bathing horses, confi dence-building games, and competing in a fun show! Don't forget all the traditional camp activities like camping out and swimming availble,too.

Note: This unit is two weeks long; girls stay over the weekend and do not have parent visits.

$310

Session 1: June 7-19

Session 2: July 12-24

Mini Wrangler • 2 weeksGrades: 8, 9, 10Let's hit the trails! If you have completed Hoofi es and Ringmasters, you are ready for more trail riding with the horses. Be prepared to do overnight trips, as well as exploring trails within and surrounding Gallahue. You must be able to trot and handle a horse on your own.

Note: This unit is two weeks long; girls stay over the weekend and do not have parent visits.

You must take the profi ciency test at the Camp Gallahue open house on Sunday, May 31, 2-4 p.m. The Mini-Wrangler profi ciency test includes control of the horse at a walk, trot, and canter; hands, body position, saddle; and bridle a horse, seat, leg.

$310

July 12-24

Buckmasters • 2 weeksGrades: 7, 8, 9If you have mastered Hoofprints, you're ready for Buckmasters! Get more experience with riding, controlling and handling a horse. Learn skills for more advanced sessions in the future. Spend the morning with the horses and your afternoon at the lake, doing crafts or achery.

$310

June 7-19

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Grades: 2, 3, 4, 5Are you horse crazy? Explore the world of horses at this beginner horse session for younger girls. Ride twice, plus learn all about horses and participate in other camp activities like swimming, art projects, and cooking out. This unit will stay in Hillcrest, our indoor facility with three wings, electricity and fl ush toilets.

$200

Session 1: June 14-19

Session 2: July 5-10

Ringmasters • 2 weeksGrades: 7, 8, 9, 10Are you interested in becoming a better rider? Ringmasters is for girls who have completed Hoofprints, and are interested in learning more and becoming more independent with horses . Learn to canter, trail ride, and become more familiar with the care of a horse. Try bareback riding, bathing horses, confi dence-building games, and competing in a fun show!

Note: This unit is two weeks long; girls stay over the weekend and do not have parent visits.

$310

Session 1: June 7-19

Session 2: July 12-24

Trailblazers • 2 weeksGrades: 7, 8, 9, 10Have you already been to Hoofprints and Ringmasters, but aren't quite old enough for Mini Wranglers? In this session, work on more trail riding skills, as well as more advanced riding in the ring. Play games on horseback and compete in a fun show!

Note: This unit is two weeks long; girls stay over the weekend and do not have parent visits.

$310

July 12-24

Saddle Club • 1 weekGrades 4, 5, 6, 7, 8Like horses but not ready to come to camp for two weeks? In this session, you will have two ground lessons in which you will learn the basics of caring for a horse, and two riding lessons to use that knowledge. Enjoy all the other camp activities too while getting to know your favorite camp horse!

$200

June 21-26

Wranglers 1 • 1 weekGrades: 9, 10, 11, 12If you loved the Mini Wranger trip and can't wait to spend more time on a horse, this is it! Spend a week away from Camp Gallahue camping and bonding with your horse, trail riding, eating on the trail, and participating in a cattle drive. There will also be a hayride, bonfi re party, and time to relax! Successful completion of the pre-camp profi ciency test is mandatory for admittance into the session. You must take the test at the Camp Gallahue open house on May 31, 2-4 p.m.

$310

June 28-July 3C

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Art Attack • 1 weekGrades: 4, 5, 6, 7, 8 Art fanatics, you'll love this week at camp! Spend your free time making all your favorite camp crafts from bead making to tie-dying, to making our own piñatas. Enjoy traditional camp activities, too.

$185

June 14-19

Aqua Sampler • 1 weekGrades: 2, 3, 4, 5Enjoy this fun introduction to the aquatic world; swimming, canoeing, sailing and fi shing! This unit will live in Hillcrest, an indoor facility. Hillcrest has three wings with electricity and fl ush toilets.

$185

July 19-24

Best Day Ever • 1 weekGrades: 2, 3, 4, 5 Each day participate in activities like making glowing lanterns from Tangled, archery like Merida from Brave, ride a horse like Mulan; go swimming and canoeing in the lake, have a camp fi re in the valley. Each day will be the best day ever! Stay in Hillcrest, which has three wings, with electricity and fl ush toilets.

$185

June 7-12

Camp Creatures • 1 weekGrades: 4, 5, 6, 7, 8Discover the animals that live at Gallahue! Meet Satin or Magic Ticket down at the barn. Camp has fun animals to learn about and get to know. We will spend time at the barn riding with the camp horses, fi shing in the lake and fi nding other camp animals to play with. We will also make animal crafts to go along with our theme.

$185

July 5-10

Themed camp sessionsAll camp sessions will swim every day; do crafts twice a week, cook-out, canoe and other types of boating along with the themed activities described.

denotes a session that is new this year

Adventureland • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12Camp is an adventure in so many different ways! This week is for anyone who is adventurous and likes to try new things. Do you like to do treasure hunts and fi gure out clues to fi nd your lunch? Would you like competing against your counselors? Join in the fun, and race against each other for the adventure of a lifetime!

$185

June 21-26

Wrangler 2Grades 9, 10, 11, 12Travel with us to Adamsville, Ohio to a Dude Ranch where you will stay in a cabin, wrangle cows, and ride trails! You must have attended Wrangler I last summer to attend or get special permission from Barb Nichols. Please plan on attending the profi ciency test at our open house on May 31, 2-4 pm. This is the perfect way to spend the week with your favorite camp friends singing around the camp fi re!

$320

June 21-26

Yearlings • 1 weekGrades: 5, 6, 7, 8This is a good starting point for young campers who want to learn more about horses! Enjoy two ground lessons where you learn the basics of caring for a horse and two riding lessons to test your new skills.

$200

July 5-10

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Field Day • 1 weekGrades: 6, 7, 8Games make camp fun, and this week we will play all types of games! From Olympic to scientifi c, you can try having an amazing race, go for target practice at our archery range or do water events like tug of war in a canoe. This session is a blast; don't miss out on the fun!

$185

June 28-July3

Gallahue's Sailing Regatta • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12Feel the wind in your face as you learn the basics and beyond about sailing, including the difference between a jib and when to jibe. Participate in the Gallahue Regatta, and sail over to the point on the lake for a cookout. Enjoy traditional camp activities during the week, too.

$185

June 21-26

Goonies • 1 weekGrades: 4, 5, 6, 7, 8 Explore Camp Gallahue for the pirate’s loot! As a P.I.T. (pirate-in-training) you'll learn and practice the most important piratical skills: shrinking heads, making maps, hunting buried treasure, climbing the rigging, and having a shipwreck breakfast!

$185

June 21-26

Camp Jam • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12Camp Jam is a great way to spend a week with new friends. Play games, hang out and get to know everyone in your unit. Relax with spa treatments, compete in canoe races or even stay up all night. Camp Jam is what you want to do with your new friends.

$185

July 19-24

Catching Fire • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12Are you ready to compete in the 75th Hunger Games? Even if you didn’t make it to our games last summer, you can still come and compete for the title of the victor. This time our game will focus on the lake. “May the odds be ever in your favor!”

$185

July 5-10

Color Wars • 1 weekGrades: 5, 6, 7, 8, 9Are you ready for color wars? Each girl is placed on a team and wears a specifi c color headband or wristband to help everyone know which team she is on. Get ready to compete against the other tents in your unit! How many marshmallows can you fi t in your mouth? Can you juggle scarves? What about racing a canoe with just your hands? Come to camp and try all these crazy games along with our regular activities. You will love Color Wars!

$185

July 19-24

District Gallahue • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12You’ve read the books, seen the movie, now experience the excitement for yourself! Learn survival skills and then go on a hunt to sleep out in camp overnight by fi nding your equipment. Work as a team to get more goods. Learn what survival skills you need to prepare yourselves. Bring your skills to the group to help everyone stay together. Remember “May the odds be ever in your favor!”

$185

June 28-July 3

Sessions fi ll quickly … register early! Check

our website before you register to fi nd out which sessions

are still available. It is updated daily.

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Hagrid’s First Years • 1 weekGrades: 4, 5, 6Harry Potter fans—you'll love this! Take Care of Magical Creatures, Potions, and Herbology classes. Top off the week with a game of Quidditch. Enjoy other activities such as swimming, canoeing, archery, and art projects.

$185

July 5-10

Hawaiian Luau • 1 weekGrades: 5, 6, 7, 8Let’s take a trip to Hawaii! Enjoy a luau party, make shell necklaces, and surf on stand up paddle boards. Decorate your unit to look tropical and take in all the beach and lake have to offer along with all traditional camp activities.

$185

June 21-26

Hogwart’s Express • 1 weekGrades: 5, 6, 7, 8Hogwarts will come to life this week at Camp Gallahue. Explore the world of Harry Potter. If you love potions, sorting hats, and Quidditch, this is the session for you. Enjoy plenty of swimming and other camp activities, too!

$185

June 21-26

Horse and Goggles • 1 weekGrades 4, 5, 6, 7, 8Like horses and the water? Then this is the week for you. Take two riding lessons in the ring and spend tons of time at the waterfront. Learn the basics of horse care and then cool off at the lake. You can even sleep at the beach if you want!

$200

July 19-24

Indiana Jane • 1 weekGrades 5, 6, 7, 8, 9Are you into fossils and gemstones? Do you like archeology? Then this session is for you! Enjoy all the regular camp activities while we add in fossil digs and hunting for gemstones. Follow maps through Camp Gallahue to explore and fi nd amazing rocks. We will also go horseback riding twice during the week.

$200

July 12-17

Kamp Katniss • 1 weekGrades: 5, 6, 7, 8You’ve read the books, seen the movie, now come experience the excitement for yourself! Work with your unit to learn survival skills to help prepare for an overnight in camp. Work as a team to get more goods. Bring your skills to the group to help everyone stay together. Remember “May the odds be ever in your favor!”

$185

July 12-17

Lights Out • 1 weekGrades: 4, 5, 6, 7, 8 Find out what happens at camp after the sun goes down with night activities. Enjoy star-gazing, night canoeing, games, and traditional camp activities!

$185

July 5-10

Moonlight Mischief • 1 weekGrades: 5, 6, 7, 8Are you a night owl? Do you like to stay up a little later than others? Would you like to go canoeing in the dark? Play tricks on the camp counselors? Explore camp at night and traditional camp activities during the day!

$185

July 19-24

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Mystery of the Mysterious Code • 1 weekGrades 5, 6, 7, 8, 9Do you like CSI? Or Nancy Drew? Are you a detective at heart? Join us to solve the different mysteries at Camp Gallahue! You will still participate in all the regular camp activities- but with a mysterious twist for you to solve.

$185

June 7-12

Night Owls • 1 weekGrades: 4, 5, 6Discover Gallahue at night with night hikes, canoeing in the dark, and stargazing. Explore bat calling, nighttime kickball, fl ashlight tag, and more!

$185

July 12-17

Olaf's Summer AdventuresGrades: 2, 3, 4, 5What does Olaf do in the summer? Let's fi nd out as we make snowmen on the beach! Feel the summer breeze while sailing in the lake. Come and have fun with Olaf at camp and enjoy all the things he wants to do in the summer! We will have a grand "Frozen" time!

$185

June 28-July 3

Outdoors and S’mores • 1 weekGrades 6, 7, 8Everyone loves s'mores over a campfi re. Each night we will cook a different dessert over the campfi re. Enjoy all the regular camp activities while you learn to cook fun desserts! Make your favorite recipes and learn a few new ones to take home and share.

$185

July 5-10

Sampler • 1 weekGrades: 2,3, 4, 5Sample camp activities for six adventure-fi lled days. Try hiking, swimming, a morning of horseback riding, and camping out. This is the perfect session for fi rst-time campers. Samplers will stay in Hillcrest an indoor facility with three wings, electricity and fl ush toilets.

$185

Session 1: June 21-26

Session 2: July 12-17

Slumber Party • 1 weekGrades: 5, 6, 7, 8 Popcorn, stargazing, campfi res, and s’mores! Stay up late to star gaze, enjoy a spa night, and sleeping in. Have a slumber party under the stars with all of your new camp friends.

$185

June 14-19

Snapshots • 1 weekGrades: 6, 7, 8, 9, 10, 11, 12Spend the week taking pictures, scrap booking, and making other crafts with your photos. Enjoy traditional camp activities, too.

$185

July 12-17

Summer Fun • 1 weekGrades: 4, 5, 6, 7, 8Sample everything Gallahue has to offer. This includes one morning of horseback riding, swimming, canoeing in the lake, hiking, cooking out, and making crafts. Having fun at camp is what this week is all about!

$185

June 28-July 3

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Surf Divas • 1 weekGrades: 4, 5, 6, 7, 8Be a lake diva and spend your time at the beach. Try stand up paddle boarding or windsurfi ng, canoeing, kayaking, and sailing around the lake. Watch a movie on the beach, cookout at the point, and make tie dye beach wear!

$185

June 7-12

Under the Sea • 1 week Grades: 4, 5, 6, 7, 8Spend time at the lake swimming, boating, and snorkeling. This week will keep you in the cool waters discovering seashells, playing games in the water, watching movies on the beach, and cooking out in a canoe.

$185

June 28-July 3

You Can’t Do That at Camp • 1 weekGrades: 4, 5, 6Did you ever want to make a huge fort to sleep in? Or wear your pajamas all day? Have a mud fi ght? Do all this and more for an entire week! You will be able to plan with your group new and crazy things to do at camp. Let your imagination run wild.

$185

June 7-12

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Here is a special opportunity for all Girl Scouts in central Indiana and their families!

You are invited to get away from the crowds and busy highways to explore the beautiful campgrounds at Camp Gallahue. You’ll share a wonderful family experience, meet other Girl Scout families, and make new friends! We have planned some activities to complement your weekend of leisure.

Camp GallahueLabor Day • Sept 4-7

Enjoy the lovely hills and valleys of Camp Gallahue. This beautiful resident/troop camp is located in Brown County.

Lifeguards will be on duty at the waterfront for swimming, canoeing, open kayaking, and fi shing.

Hillcrest – three wings; each wing has either 12 or 14 beds, private restrooms, showers, and modern kitchen.Fee per wing: $125

Four tent units – units consist of a large activity cabin with ten nearby platform tents for sleeping and pit latrines. Cabins have modern kitchens and substantial activity space to be shared by families staying in the unit, for get-together, cooking, etc.Fee per family $50

Adirondack unit (Harley’s Hill) – three sided shelter for sleeping, picnic style shelter with tables, a pit latrine, and a fi re bowl. No electricity or water.Fee per family:$25

Primitive camping sites – unlimited site capacity. Sites include fi re bowls, fi re grates and picnic tables. Water available from a pump located in the center of the valley. No electricity. Fee per family: $25

Picnic area – available for day use.

Hills of Gallahue trail – provides a rugged seven and a half-mile trail through the hills of Brown County. After hiking the trail, The Hills of Gallahue patch is available for purchase from any Girl Scouts of Central Indiana Showcase.

Someone in the family must be a registered Girl Scout member. A family consists of individuals living in the same household.

Each family must bring their own equipment and food. No campers, trailers, or motor homes, no hookups. No pets, smoking or alcohol allowed.

No refunds for family camp weekends.

Complete the registration form and return it with check or money order* payable to Girl Scouts of Central Indiana. Mail to:

Girl Scouts of Central Indiana2611 Waterfront Parkway East Drive, Suite 100Indianapolis, IN 46214

*You may also pay by Visa or MasterCard by completing the information on the registration. When paying by charge, you may fax your form to the Girl Scout Service Center at Indianapolis at 317.931.3346.

Confi rmations, additional information, and directions to camp will be mailed to you after your registration is received. If you have questions, call the Camping Services Department at 317.924.6800.

Family camp weekend at Camp GallahueFo

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2015 Day camp individual registration form

Are you currently a registered member ofGirl Scouts of Central Indiana?

q Yes, troop # __________ Service unit _____________

q Yes, Juliette (individual Girl Scout)

q No, non-Girl Scout

q Out of council

Council name ___________________________________

Additional information (optional for statistical purposes only)

Camper’s racial background

q American Indian or Alaskan Native

q Black or African American

q Hawaiian or Pacifi c Islander

q White

q Other (Specify ______________________________ )

Camper’s ethnic background

q Hispanic or Latina q Not Hispanic or Latina

Fee waiver informationName of adult volunteering to work at day camp who is responsible for waiver of fee

__________________________________________________Program Assistance Grant (PAG) Information

Is fi nancial assistance needed? q Yes q No

If yes, include PAG application and $10 deposit.

Disabilities

q Please check if you need American Disabilities Act assistance. Explain ____________________________________________________________________________________________________________________________________

Buddy information (campers only)Name one friend (fi rst and last name ) that you want in your unit.

__________________________________________________Grade in fall (must be same as camper’s) ____________

Name of parent/guardian __________________________________________________________________________________

Home phone _______________________ Work phone ______________________ Cell phone ________________________

Email address _________________________________ Address ___________________________________________________

City ___________________________________________ State _______ County _________________ ZIP ________________

Emergency contact:

Name __________________________________________________________ Relationship ____________________________

Primary phone ___________________________________Secondary phone ______________________________________

My daughter is under the custodial care of:

q Both parents q Mother only q Father only q Other ______________________________________________

Camper’s name ____________________________________________________________ Birth date ____________________

School ___________________________________ Grade in fall __________ Shirt size (specify youth or adult size) _______

Parent permission: I give my daughter, ________________________________, permission to participate in all phases of the Girl Scouts of Central Indiana day camp program. I understand the arrangements as stated in the camp information. I will not allow her to attend camp if she has been exposed to any contagious disease, and will notify the camp director if this is the case. In an emergency, when neither I nor the emergency contact person named can be reached, I hereby authorize the camp director to take any action deemed necessary for the best interests of my daughter. I understand that part of the learning experience of day camp is living with peers; therefore, there is no visitation during sessions. I give permission for out of day camp travel when it is part of the day camp program. I give permission for all photos and videos of my daughter at day camp to be used for public relations purposes for Girl Scouts of Central Indiana.

Signature of parent/guardian___________________________________________________ Date _____________________

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Session information (check one)

q Butler q Dellwood q Sycamore Valley q Nawakwa q Mounds

Session number: (circle one)

1 2 3 4 5 6 7

Date of session ____________________________________

Check one: q Camper q Day camp aide q Day camp Aide-in-Training

Transportation (Dellwood and Nawakwa only)

Check one: q Car rider q Bus rider

If bus rider, bus stop code __________________________Bus stop location __________________________________

Health history forms must also be attached for registration to be processed.

Day camp individual registration form continued

Additional forms are available at any Girl Scout service center, by calling 317.924.6800 or 855.GSCIN.4U, on our website at girlscoutsindiana.org, or forms may be duplicated.

Visit our website for online registration • girlscoutsindiana.org

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Payment information:

q MasterCard q Visa q American Express q Discover (American Express, Discover can not be used for online registration. Registration must be completed on paper registration form.)

Card number ______________________________ Expiration date _________ Amount to be charged $ _______________

Name of credit card holder ___________________________________ Signature ___________________________________

Amount enclosed $ _________________________

q Cash

q Check # __________________________

q Charge

For offi ce use only

Receipt to:

10-83-6230-3112 (Dellwood)

10-83-6230-3612 (Sycamore Valley)

10-58-6220-2050 (Butler)

10-83-6230-3512 (Mounds)

10-83-6230-3512 (Na Wa Kwa)

Day camp aides onlyWith what age girls do you prefer to work with?q Girl Scout Daisy (Grades K-1)

q Girl Scout Brownie (Grades 2-3)

q Girl Scout Junior (Grades 4-5)

Leadership training

Please indicate year training occurred:

Program Aide _______________

Gettin’ Crafty _______________

Fires, Flashlights, and Fun _______________

Energetic Endeavors _______________

Day camp Aide-in-Training (AIT) _______________

Day camp Aide Training day _______________

LIT/CIT _______________

Other Girl Scout training _______________

Form

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Transportation

Check one: q Car rider q Bus rider (Dellwood and Nawakwa only)

If bus rider, bus stop code __________________________

Bus stop location __________________________________

Session informationCheck one:

q Dellwood q Mounds

q Nawakwa q Sycamore Valley

Session number: (circle one)

1 2 3 4 5 6 7

Date of session ____________________________________

With what age girls do you prefer to work with?

q Girl Scout Daisy (kindergarten-1)

q Girl Scout Brownie (Grades 2-3)

q Girl Scout Junior (Grades 4-5)

q Girl Scout Cadette (Grades 6-8)

Fee waiver informationName of the girl you are waiving the day camp fee for:

__________________________________________________Return your application and the above girl’s application together.

To waive the total camp fee for your daughter or Girl Scout of your choice, you must attend the pre-camp meeting, attend camp Monday through Friday, and stay on the overnight (Thursday night).

2015 Day camp volunteer staff registration form

Disabilities

q Please check if you need American Disabilities Act

assistance. Explain ________________________________

__________________________________________________

__________________________________________________

Do you wish to be in the same unit as your daughter?

q Yes q No

Daughter’s name __________________________________You will be assigned based on the needs of the day camp session, not necessarily with your daughter.

You are required to be a registered Girl Scout member to work as day camp volunteer staff.Are you currently a registered member of Girl Scouts of Central Indiana?

q Yes, troop # __________ Service unit _____________

q Yes, Juliette (individual Girl Scout)

q No, non-Girl Scout

Out of council

Council name ___________________________________If no, submit an adult membership registration form, volunteer application, and $15 with camp registration.

Experience and skills

Have you worked day camp before? q Yes q No

If yes, what years? _________________________________Position(s) held ___________________________________

Adult’s name _____________________________________________________________________________________________

Birth date ______________________________________ Gender: q male q female Shirt size ________________

Position of interest: Please check the position you are interested in: q Unit leader q Assistant unit leader

Address _____________________________________________________________ City ________________________________

State __________County ______________________________ ZIP ____________ E-mail address ______________________

Home phone ______________________Work phone ________________________ Cell phone _______________________

Authorization section: I give permission for all photos and videos of me at camp to be used for public relations purposes for Girl Scouts of Central Indiana. I understand that I must contact the Camping Services Department or the camp director immediately if I am unable to attend camp. Signature ____________________________________________________________________ Date _______________________

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Parent permission: I give my child (children), _________________________________________________, permission to participate in all phases of the Girl Scouts of Central Indiana day camp tag-a-long program. I understand the arrangements as stated in the camp information. I will not allow my child (children) to attend camp if my child (children) has (have) been exposed to any contagious disease, and I will notify the camp director if this is the case. In an emergency, when neither I nor the emergency contact person named can be reached, I hereby authorize the camp director to take any action deemed necessary for the best interests of my child (children). I give permission for all photos and videos of my child (children) at day camp to be used for public relations purposes for Girl Scouts of Central Indiana.

Signature of parent/guardian_____________________________________________________ Date ____________________

Payment InformationNumber of children=_______ x $30 = __(Total amount due)

q MasterCard q Visa q American Express q Discover (American Express, Discover can not be used for online registration. Registration must be completed on paper registration form.)

Card number _______________________________ Expiration date __________ Amount to be charged $ ____________

Name of credit card holder ________________________________ Signature _____________________________________

Day camp tag-a-long registration

The tag unit is for children of adults working as camp volunteers only.Name of child / children registering for tag unit:

1. q Girl q Boy Shirt size __________

Date of birth _________Grade (fall 2014) __________

2. q Girl q Boy Shirt size __________

Date of birth _________Grade (fall 2014) __________

Day camp volunteer staff registration form continued

For offi ce use onlyReceipt to: 10-83-6230-3112 (Dellwood)10-83-6230-3612 (Sycamore Valley)10-83-6230-3512 (Nawakwa)10-83-6230-3512 (Mounds)

3. q Girl q Boy Shirt size __________

Date of birth _________Grade (fall 2014) _________

q Please check if you need American Disabilities Act

assistance. Explain _______________________________

_________________________________________________

_________________________________________________If yes, which child? Please list the number beside the child’s name from above #__________.

Amount enclosed $ _______________________

q Cash

q Check # ________________________

q Charge

Additional forms are available at any Girl Scout service center, by calling 317.924.6800 or 855.GSCIN.4U, on our website at girlscoutsindiana.org, or forms may be duplicated.

Visit our website for online registration • girlscoutsindiana.org

What skills do you have?

q Crafts q Firebuilding q Nature q Knots q Songs q Compass q Game q Outdoor cooking

q Additional areas not listed ______________________________________________________________________________Stop here unless you are registering tag-a-longs.

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q

5 Nawakwa

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CAMPER HEALTH HISTORY FORM 1Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council onSchool Health, & Association of Camp Nurses

Camper Name: ________________________________________________First Middle Last

Birth Date: ____________Month/Day/Year

Immunization History: Provide the month and year for each immunization. Starred ( ) immunizations must be current. Copies of immunization forms from health-care providers or state or local government are acceptable; please attach to this form.

Immunization Dose 1Month/Year

Dose 2 Month/Year

Dose 3 Month/Year

Dose 4 Month/Year

Dose 5 Month/Year

Most Recent DoseMonth/Year

Diptheria, tetanus, pertussis(DTaP) or (TdaP)Tetanus booster(dT) or (TdaP)Mumps, measles, rubella(MMR)Polio(IPV)Haemophilus influenzae type B (HIB)Pneumococcal(PCV)Hepatitis B

Hepatitis A

Varicella Had chicken pox(chicken pox) Date:Meningococcal meningitis (MCV4)

Tuberculosis (TB) test Date: Negative Positive

If your camper has not been fully immunized, please sign the following statement: I understand and accept the risks to my child from notbeing fully immunized.

Signature of Custodial RelationshipParent/Guardian: ______________________________________________________________Date: to Camper: __________________________

Medication: This camper will not take any daily medications while attending camp.This camper will take the following daily medication(s) while at camp:

"Medication" is any substance a person takes to maintain and/or improve their health. This includes vitamins & natural remedies. Please review campinstructions about required packaging/containers. Many states require original pharmacy containers with labels which show the camper’sname and how the medication should be given. Provide enough of each medication to last the entire time the camper will be at camp.Name of medication Date started Reason for taking it When it is given Amount or dose given How it is given

BreakfastLunchDinnerBedtimeOther time:_____________BreakfastLunchDinnerBedtimeOther time:_____________BreakfastLunchDinnerBedtimeOther time:_____________

The following non-prescription medications may be stocked in the camp Health Center and are used on an as needed basis to manage illness and injury.Cross out those the camper should not be given.

Acetaminophen (Tylenol) Ibuprofen (Advil, Motrin)Phenylephrine decongestant (Sudafed PE) Pseudoephedrine decongestant (Sudafed)Antihistamine/allergy medicine Guaifenesin cough syrup (Robitussin)Diphenhydramine antihistamine/allergy medicine (Benadryl) Dextromethorphan cough syrup (Robitussin DM) Sore throat spray Generic cough dropsLice shampoo or cream (Nix or Elimite) Antibiotic creamCalamine lotion AloeLaxatives for constipation (Ex-Lax) Bismuth subsalicylate for diarrhea (Kaopectate, Pepto-Bismol)

Copyright 2008 by American Camping Association, Inc. Page 2/4 Rev. 1/2007 LEE/EAW

2014 Day Camp Health History Form5

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CAMPER HEALTH HISTORY FORM 1Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council onSchool Health, & Association of Camp Nurses

Camper Name: ________________________________________________First Middle Last

Birth Date: ____________Month/Day/Year

General Health History: Check "Yes" or "No" for each statement. Explain “Yes” answers below.

Has/does the camper:

1. Ever been hospitalized? …………………………. Yes No 11. Had fainting or dizziness? ..................................................... Yes No

2. Ever had surgery? ..............................…………. Yes No 12. Passed out/had chest pain during exercise? ….……………. Yes No

3. Have recurrent/chronic illnesses? .......……….… Yes No 13. Had mononucleosis ("mono") during the past 12 months?... Yes No

4. Had a recent infectious disease? ....... …………. Yes No 14. If female, have problems with periods/menstruation?.…….. Yes No

5. Had a recent injury? ........................... …………. Yes No 15. Have problems with falling asleep/sleepwalking? ............... Yes No

6. Had asthma/wheezing/shortness of breath?...... Yes No 16. Ever had back/joint problems?…….………...……………...... Yes No

7. Have diabetes? .................................. …………. Yes No 17. Have a history of bedwetting?………………….……………... Yes No

8. Had seizures? .................................................... Yes No 18. Have problems with diarrhea/constipation?……………….... Yes No

9. Had headaches? …………………………………. Yes No 19. Have any skin problems?…………………….......................... Yes No

10. Wear glasses, contacts, or protective eyewear? Yes No 20. Traveled outside the country in the past 9 months?.............. Yes NoPlease explain “Yes” answers in the space below, noting the number of the questions. For travel outside the country, please name countries visited and dates of travel.

Parents/Guardians: STOP here. The rest of this is form is completed when the camper arrives at camp. Keep a copy for your records.

Copyright 2008 by American Camping Association, Inc. Page 3/4 Rev. 1/2007 LEE/EAW

What Have We Forgotten to Ask? Please provide in the space below any additional information about the camper’s health that you think important orthat may affect the camper’s ability to fully participate in the camp program. Attach additional information if needed.

Health-Care Providers:

Name of camper’s primary doctor(s): ____________________________________________________ Phone: (________) _______________________

Name of dentist(s):___________________________________________________________________ Phone: (________) _______________________

Name of orthodontist(s):_______________________________________________________________ Phone: (________) _______________________

Mental, Emotional, and Social Health: Check "Yes" or "No" for each statement.

Has the camper:

1. Ever been treated for attention deficit disorder (ADD) or attention deficit/hyperactivity disorder (AD/HD)? ………………………........ Yes No

2. Ever been treated for emotional or behavioral difficulties or an eating disorder?……............................................................................. Yes No

3. During the past 12 months, seen a professional to address mental/emotional health concerns?……….…………………………………. Yes No

4. Had a significant life event that continues to affect the camper’s life?...................................................................................................... Yes No(History of abuse, death of a loved one, family change, adoption, foster care, new sibling, survived a disaster, others)

Please explain “Yes” answers in the space below, noting the number of the questions. The camp may contact you for additional information.

2014 Day Camp Health History Form5

Form

s

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Form

s

Share moments from your "best summer yet" with us! @girlscoutsIN

Make this summer the best

summer yet!

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Are you currently a registered member ofGirl Scouts of Central Indiana?

q Yes, troop # __________ Service unit _____________

q Yes, Juliette (individual Girl Scout)

q No, non-Girl Scout

Out of council

Council name ___________________________________

Additional information (optional for statistical purposes only)

Camper’s racial background

q American Indian or Alaskan Native

q Black or African American

q Hawaiian or Pacifi c Islander

q White

q Other (Specify _______________________________)

Camper’s ethnic background

q Hispanic or Latina q Not Hispanic or Latina

2015 Resident camp individual registration form

Program Assistance Grant (PAG) information

Is fi nancial assistance needed? q Yes q No

If yes, include PAG application and $10 deposit.

Name of only one friend that you want in your unitRequests must be mutual! Request for more than one buddy and requests that go in a circle will not be honored.

Last ______________________ First ___________________

Grade in fall ______________________________________

Special needsThis includes religious, dietary, mental, physical, and emotional needs. q Yes q No

If yes, please elaborate _____________________________

__________________________________________________

Name of parent/guardian __________________________________________________________________________________

Home phone ______________________Work phone ________________________ Cell phone _______________________

Email address _____________________________________ Address _______________________________________________

City ___________________________________________ State _______ County _________________ ZIP ________________Emergency contact:

Name __________________________________________________________ Relationship ____________________________

Primary phone ___________________________________Secondary phone ______________________________________

My daughter is under the custodial care of:

q Both parents q Mother only q Father only q Other ______________________________________________

Camper’s name ____________________________________________________________ Birth date ____________________

School _____________________________ Grade in fall ____________ Shirt size (specify youth or adult size) ___________

Parent permission: I give my daughter, ________________________________, permission to participate in all phases of the Girl Scouts of Central Indiana day camp program. I understand the arrangements as stated in the camp information. I will not allow her to attend camp if she has been exposed to any contagious disease, and will notify the camp director if this is the case. In an emergency, when neither I nor the emergency contact person named can be reached, I hereby authorize the camp director to take any action deemed necessary for the best interests of my daughter. I understand that part of the learning experience of day camp is living with peers; therefore, there is no visitation during sessions. I give permission for out of day camp travel when it is part of the day camp program. I give permission for all photos and videos of my daughter at day camp to be used for public relations purposes for Girl Scouts of Central Indiana.

Signature of parent/guardian______________________________________________________ Date ___________________

Form

s

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q Please check if you need American Disabilities Act

Check oneq Gallahue q Nawakwa q Sycamore Valley q University Camp Programs

Session selection

1 choice

Session name ______________________________________

Date ______________________________________________

2 choice

Session name ______________________________________

Date ______________________________________________

3 choice

Session name ______________________________________

Date ______________________________________________

Fifty percent of payment is due at time of registration. Remaining balance is due one month prior to attending camp. If applying for the Program Assistance Grant, $10 must be submitted at time of registration. All registrations without payment will be returned without being processed.

Additional forms are available at any Girl Scout service center, by calling 317.924.6800 or 855.GSCIN.4U, on our website at girlscoutsindiana.org, or forms may be duplicated.

Visit our website for online registration • girlscoutsindiana.org

Payment information:q MasterCard q Visa q American Express q Discover (American Express, Discover can not be used for online registration. Registration must be completed on paper registration form.)

Card number _________________________________ Expiration date ___________ Amount to be charged $ __________

Name of credit card holder __________________________________Signature _____________________________________

$35 Bus Fee $ _______________________

$30 Non Girl Scout Fee $ _______________________

Session Fee $ _______________________

Total Amount Due $ _______________________

Amount enclosed $ _______________________

q Cash

q Check # ________________________

q Charge

For offi ce use only

Receipt to: 10-83-6230-3213 Gallahue

10-83-6230-3612 Sycamore Valley

10-58-6220-2053 Gems, IU, Tags

10-58-6220-3512 Nawakwa

Resident camp individual registration form continued

Bus transportation for Gallahue ($35 per session)

Do you need bus transportation? q Yes q No

If yes, please indicate bus stop preference and whether you need one-way or round-trip transportation:

q One-way

q To camp

q From camp

q Round trip

Bus stop (check one):

q Girl Scout Service Center at Kokomo (G1)

q Girl Scout Service Center at Lafayette (G2)

q Flying J Truck Stop, Spiceland (G3)

q Girl Scout Service Center at Terre Haute (G4)

q Nora Elementary School, northside Indpls (G5)

q Girl Scout Service Center at Indianapolis (G6)

q O’Malia’s Food Market, southside Indpls (G7)

Health history forms will be mailed in the confi rmation

packet. Please do not use the day camp health history form.

Form

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Troop number ___________________________________________

Service unit _____________________________________________

Contact name ___________________________________________

Home phone ______________ Work phone __________________

Cell phone ______________________________________________

Address _________________________________________________

City ___________________________State ____ ZIP _____________

County __________________________________________________

E-mail address ___________________________________________

Session information check oneCamp Sycamore Valley

q July 13-15 q July 15-17

q July 20-22 q July 22-24

Age level of troop (fall 2013) check one

q Girl Scout Brownie q Girl Scout Junior

Payment information

Number of girls = ______ x $85 = $ _________

Number of adults = ____ x $25 = $ _________

Total participants = ____ Total due = $ _________

Program Assistance Grant (PAG) information

Is fi nancial assistance needed?q Yes q NoIf yes, include PAG application and $10 deposit per troop.

For offi ce use only

10-83-6230-3612 (Sycamore Valley)

Amount enclosed $ __________________________

q Cash

q Check # ___________________________

q Charge

2015 Troops Love Camping registration form

Please list girls individually Shirt size

(specify youth or adult size)

1. _______________________________________ ________

2. _______________________________________ ________

3. _______________________________________ ________

4. _______________________________________ ________

5. _______________________________________ ________

6. _______________________________________ ________

7. _______________________________________ ________

8. _______________________________________ ________

9. _______________________________________ ________

10. _______________________________________ ________

11. _______________________________________ ________

12. _______________________________________ ________

13. _______________________________________ ________

14. _______________________________________ ________

Please list adults individually Shirt size

1. _______________________________________ ________

2. _______________________________________ ________

3. _______________________________________ ________

4. _______________________________________ ________

Use additional paper if needed.

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Is this your fi rst time to attend family camp weekends?

q Yes q No

q Weekend at Camp Na Wa Kwa (June 19-21)

q Labor Day Weekend at Camp Gallahue (Sept 4-7)

Type of facilityFees are per weekend. Please number in order of preference if more than one choice.

Camp Na Wa Kwa____ Four tent units • Fee per family: $50

____ One cabin unit (Deerpath) • Fee per family: $50

____ Primitive camping site • Fee per family: $25

Camp Gallahue____ Hillcrest • Fee per wing: $125

____ Four tent units • Fee per family: $50

____ Adirondack Unit (Harley’s Hill)• Fee per family: $25

____ Primitive camping site • Fee per family: $25

Total enclosed $ _______________________________

Total number of people attending __________________

Someone in family must be a registered member of Girl Scouts of Central Indiana. A family consists of individuals living in same household.

Additional forms are available at any Girl Scout service center, by calling 317.924.6800 or 855.GSCIN.4U, on our website at girlscoutsindiana.org, or forms may be duplicated.

Payment information:q MasterCard q Visa q American Express q Discover (American Express, Discover can not be used for online

registration. Registration must be completed on paper registration form.)

Card number _____________________________________________ Expiration date _____________ Amount to be charged $ _________

Name of credit card holder __________________________________________ Signature _________________________________________

Amount enclosed $ _______________________q Cashq Check # ________________________q Charge

For offi ce use only

Receipt to:

10-83-6230-3510 (Camp NaWaKwa, June 19-21)

10-83-6230-3210 (Camp Gallahue, Labor Day)

2015 Family camping weekends registration form

Name ________________________________________________________________________________________________________________

Home phone ____________________________Work phone _______________________ Cell phone ___________________________

E-mail address __________________________________________Address ______________________________________________________

City _________________________________________________ State ________ County ______________________ZIP _________________

Name of registered Girl Scout member ___________________________________________________ Troop number ________________

Please list the name, gender, age, and relationship to Girl Scout member of each person attending:

Name Gender Age Relationship

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________Registration must be received at the Girl Scout Service Center at Indianapolis prior to camping weekend to verify Girl Scout membership.

o Please check if you need American Disabilities Act assistance.

No refunds for family camp weekends.

Please read carefully & sign below: We take full responsibility for any action of all members of our family. We also agree to be responsible for the waterfront safety for our family and to have one adult with our children at the waterfront area whenever they are swimming, boating, or playing near the waterfront area. We understand Girl Scout accident insurance is part of the annual troop registration fee; therefore, only registered members are covered by Girl Scout accident insurance.

Adult signature ___________________________________________________________________________ Date ________________________

Form

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Program Assistance Grant ApplicationGirl Scouts of Central Indiana

Please complete the Program Assistance Grant Application online at girlscoutsindiana.org, or mail the following form to Girl Scouts of Central Indiana, Suite 100, 2611 Waterfront Parkway East Drive, Indianapolis, IN 46214.

Grants are given for individual girl or troop participation in Girl Scouts of Central Indiana and Girl Scouts of the USA endorsed events such as GSUSA national and international Destinations, resident and day camp, and council, service unit, or troop program activities. Grants are only given to registered Girl Scouts.• Each girl may apply for one troop, one camp and one individual grant per year. • Financing is seldom more than matching funds with the exception of extreme need and or unforeseen

circumstances beyond the control of the applicant.• All applicants will be notifi ed by mail as to the disposition of the requests.

The grant committee will look at the following factors when evaluating a grant request.• The application request is based on a realistic goal and includes a sound fi nancial plan.• The fi nancial resources of the applicant, including any special circumstances.• The degree to which the applicant has used her own resources to help pay for the cost of the opportunity.

Type of PAG requested: q Troop (see section I) q Individual (see section II) q Camp (see section II)

Girl Scouts of Central Indiana should make PAG check payable to:

Section I: Troop PAG (circle appropriate grade level)Girl Scout Daisy Girl Scout Brownie Girl Scout Junior Girl Scout Cadette/Senior/Ambassador

Troop number ____________Leader’s name _______________ Phone ( _____ ) ________________

Street address ______________________________________ # participating (G) _____ (A) _____

City, state, ZIP ___________________________________________ County ___________________

Are all girls are registered Girl Scouts? q Yes q No

I have reviewed the Safety-Wise section appropriate to this activity and assure that all requirements will be met.

Leader signature ________________________________________________ Date ______________ Troop PAG applicants please continue to section IV.

Section II: Individual PAG (circle appropriate grade level)Girl Scout Daisy Girl Scout Brownie Girl Scout Junior Girl Scout Cadette/Senior/Ambassador

Girl’s name ___________________________________________ Troop number _______________

Street address ______________________________ City, state, ZIP __________________________

County/Service unit _______________________________ Phone ( ______ ) ___________________

Number of years in Girl Scouting _____Grade in fall ________________ Birth date _________________

School ________________________________________________________________________________________________

Does girl receive free/reduced lunch at school? q Yes q No

Girl wishes to attend the following program activity: __________________________________________

Council program activity: q Troop program activity q Day camp q Resident camp

Girl signature ____________________________________________________ Date _____________

Parent name printed __________________________________________________________________Parent/guardian signature __________________________________________ Date _____________Camp applicants please continue to section III; individual applicants please continue to section IV.

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Section III: Camp PAG (circle appropriate grade level)Submit a $10 deposit with your Program Assistance Grant application. The application will not be processed until the $10 fee has been received by Girl Scouts of Central Indiana.

Girl Scout Daisy Girl Scout Brownie Girl Scout Junior Girl Scout Cadette/Senior/Ambassador

Parent/guardian name ________________________________________ Troop number ___________

Work phone ______________________________ Cell phone ________________________________

Complete only if different from girl’s information.

Street address ____________________________________________________________________

City, state, ZIP ________________________________ County/Service unit _____________________

Camp attending ______________ Camp dates __ Session number or name _____________________

School________________________________________________________________________________

Camp applicants please continue to section IV.

Section IV: Event details and participationLocation ______________________________________Transportation _______________________

Detailed description of event __________________________________________________________

________________________________________________________________________________

Dates of trip ______________________________________________________________________

Have reservations been made? q Yes q No

What are your sleeping arrangements? q Tents q Hotel q Other

Do you have additional insurance other than Girl Scouts? q Yes q No

A complete itinerary must be submitted including dates, times, places and accommodations with a full list of girls and adults.

Has troop/girl received a grant for a Girl Scout activity in the past year? q Yes q No

Did the troop/girl participate in the Fall Product Sale Program? q Yes q No

If no, why not? _____________________________________________________________________

Did the troop/girl participate in the Girl Scout Cookie Program? q Yes q No

If no, why not? _____________________________________________________________________

All applicants please continue to Section V.

Program Assistance Grant ApplicationGirl Scouts of Central Indiana

Form

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Section V: BudgetTotal anticipated cost Total amount girl/troop can pay If other, please specify

Transportation ___________ Troop _________________________ ________________________

Camp fee _______________ Parent/guardian _________________ ________________________

Program fee _____________ Girl’s earnings ___________________ ________________________

Other __________________ Other _________________________ ________________________

Total ___________________ Total _________________________ ________________________

Total amount requested ____________________________________

Total annual income: (Please check the appropriate amount)

q $0-$12,000

q $15,001-$18,000

q $21,001-$25,000

q $30,001-$40,000

q $50,001-$60,000

q $12,001-$15,000

q $18,001-$21,000

q $25,001-$30,000

q $40,001-$50,000

q Over $60,000

Number of people supported by this income: _____________________________________________

Answer the following questions. Please attach additional sheet if necessary.

What is the trip goal? ________________________________________________________________

Are there any special circumstances? (This question must be answered in order for your application to be considered.)

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Is the parent/guardian a troop leader? ___________________________________________________

The following questions must be fi lled out for processing:

Does your child receive free or reduced lunch? ☐ Yes ☐ No

What is your child's school district? _____________________________________________________________

Please allow 4 weeks for processing. Award amount ___________ Requisition # ____________

Program Assistance Grant ApplicationGirl Scouts of Central Indiana

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Girl Membership GIRL SCOUT MISSION Girl Scouting builds girls of courage, confidence, and character, who make the world a better place.

FUN WAYS TO PARTICIPATE: (check all that interest you)

� Camp: Connect with nature. Choose a camp by day or overnight.

� Events: Focus on half or full day events to share your passions.

� Series: Explore your interests over a few sessions in a way that fits your schedule.

� Travel: Pack your bags. Travel across town or around the world!

� Troop: Have fun on a regular basis with your Girl Scout sisters.

� Virtual: Interact virtually with Girl Scouts everywhere.

YES! I would like to make a donation today that directly benefits girls in our area. Enclosed is my tax-deductible donation in the amount of: (check one)

� $500 � $250 � $150 � $100 � $50 � $25 � Other $

PAYMENT INFORMATION:

Membership Fee: $ 15

Donation: $

Total Attached: $

� Cash � Check* � Amex � Discover � Visa � MasterCard � Other

Name on Credit Card

Credit Card #

Expiration Date

Signature

Date *Make checks payable to Girl Scouts

THANK YOU FOR SUPPORTING GIRL SCOUTS!Learn more about Girl Scouts at www.girlscouts.org.

Return this registration form, along with GSUSA membership fees to your local council. Fees are non-refundable or transfer-able to another person.

Join the global network of 3.2 million Girl Scouts Membership Year through 9/30/20

Name: First Middle Last

Address Apartment

( ) City State / Zip Code Girl Home Phone

( ) Girl Cell Phone (only if 13 and older) Girl E-Mail Address (only if 13 or older) I wish to opt in: � Texts � E-mails

Girl Scouts respects and welcomes people from all backgrounds and abilities. By completing the following information (as defined by the US Census), you ensure support and funding for girls in your community. Hispanic/Latina is defined as an ethnicity, not a race, therefore is reported separately. This information is used for statistical purposes only.

Date of birth: (mm/dd/yyyy) / / # of years as a Girl Scout: School grade in Fall 2014:

Name of school:

Custodial care: � Both Parents � Mother/Guardian Only � Father/Guardian Only � Other

She is: (check all that apply) � American Indian or Alaskan Native � Asian � Black or African American � Hawaiian or Pacific Islander � White � Other (please specify)

� I choose not to share at this time

She is Hispanic or Latina: � Yes � No � I choose not to share

at this time

Household income:� $0–$14,999 � $15,000–$34,999 � $35,000–$49,999 � $50,000–$74,999 � $75,000–$99,999 � $100,000 or more � I choose not to share

at this time

� Address is same as girl

Parent/Guardian (1) First Name Middle Last

Address

Employer Occupation

( ) ( ) Home Phone Business Phone

( ) Cell Phone E-mail Address I wish to opt in: � Texts � E-mails

� Address is same as girl

Parent/Guardian (2) First Name Middle Last

Address

Employer Occupation

( ) ( ) Home Phone Business Phone

( ) Cell Phone E-mail Address I wish to opt in: � Texts � E-mails

Media Permission When participating in Girl Scout activities I may be photographed for print, videotaped, or electronically imaged. Images may be used in promotional materials, news releases, and other published formats for either the local Girl Scout Councils or Girl Scouts of the USA. The images will be the sole property of either the local Girl Scout Council or Girl Scouts of the USA.

� I wish to opt out at this time.

The Girl Scout LawI will do my best to behonest and fair,friendly and helpful,considerate and caring,courageous and strong, andresponsible for what I say and do,and torespect myself and others,respect authority,use resources wisely,make the world a better place, andbe a sister to every Girl Scout.

The Girl Scout PromiseOn my honor, I will try:To serve God and my country,To help people at all times,And to live by the Girl Scout Law.

I/We acknowledge that the registrant will accept and abide by the Girl Scout Promise and Law. The registrant has permission to join Girl Scouts.

Signature of Parent/Guardian Date

Signature of Parent/Guardian Date

Council Code: Service Unit/Team: Group/Troop: PATHWAY OF ENTRY: � Camp � Event � Series � Travel � Troop � Virtual

Check one: � New Member � Renewing Member GSUSA ID (if known)

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When making the GS Promise, individual members may substitute wording appro- priate to their own spiritual beliefs for the word “God.”

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Title or salutation: � Mrs. � Ms. � Miss � Mr. � Dr. � Other:

Name: First Middle Last

Address Apartment

City State Zip Code

( ) ( ) Home Phone Business Phone

( ) I wish to opt in: � Texts � E-mails Cell Phone E-mail Address

Employer Title/Occupation

Girl Scouts respects and welcomes people from all backgrounds and abilities. By completing the following information (as defined by the US Census), you ensure support and funding for girls in your community. Hispanic/Latina is defined as an ethnicity, not a race, therefore reported separately. This information is used for statistical purposes only.

Gender:� Female � Male

# of years in Girl Scouting: as a girl: as an adult:

Date of birth: / / mm dd yyyy

Age range: � 18-29 � 50 and up � 30-49

Highest education: (check one) � Some High School � High School � Some College � Associate Degree � Bachelor Degree � Postgraduate Degree

I am: (check all that apply) � American Indian or Alaskan Native � Asian � Black or African American � Hawaiian or Pacific Islander � White � Other (please specify)

� I choose not to share at this time

I am Hispanic or Latina: � Yes � No � I choose not to share

at this time

Household income:� $0–$14,999 � $15,000–$34,999 � $35,000–$49,999 � $50,000–$74,999 � $75,000–$99,999 � $100,000 or more � I choose not to share

at this time

I will be participating in Girl Scouting as: (check all that apply) � Volunteer —I am/will be volunteering for Girl Scouts � Community Partner� Parent/Family —I am a parent/guardian/family member of a Girl Scout � Staff—I am/will be employed by Girl Scouts� Girl Scout Alumnae —I was a Girl Scout, either as a girl, adult or both � Other

As a volunteer, I would like to participate in the following role(s): Representing Group(s)/Troop(s)/Service Unit Numbers: � 01—Advisor or Leader for a Group/Troop # # # # � 02—Assistant Advisor or Leader for a Group/Troop Advisor/Leader # # # � 03—Support Volunteer for a Group/Troop # # # � 11—Service Team or Unit Volunteer SU SU SU � 12—Learning Facilitator � Other (specify)

PARTICIPATE WITH GIRLS DIRECTLY: (check all that interest you)

� Camp: Help girls connect with nature during day or overnight camp.

� Events: Share your passions during half or full day events.� Series: Share your interests in a way that fits your schedule� Travel: Expand girls’ horizons. Travel with girls across town

or around the world!� Troop: Inspire and develop a group of girls on a regular basis. � Virtual: Interact virtually with Girl Scouts everywhere.

GET INVOLVED “BEHIND-THE-SCENES”: (check all that interest you)

� Administrative: Manage, support and recognize volunteers in your community

� Council Committees: Assist in council-wide Girl Scouts operations

� Learning Facilitator: Coordinate learning opportunities � Fund Development: Promote and advance the Girl Scout

movement through family and corporate donations

Media Permission When participating in Girl Scout activities I may be photographed for print, videotaped, or electronically imaged. Images may be used in promotional materials, news releases, and other published formats for either the local Girl Scout Councils or Girl Scouts of the USA. The images will be the sole property of either the local Girl Scout Council or Girl Scouts of the USA.

� I wish to opt out at this time.

The Girl Scout LawI will do my best to behonest and fair,friendly and helpful,considerate and caring,courageous and strong, andresponsible for what I say and do,and torespect myself and others,respect authority,use resources wisely,make the world a better place, andbe a sister to every Girl Scout.

The Girl Scout PromiseOn my honor, I will try:To serve God and my country,To help people at all times,And to live by the Girl Scout Law.

I accept and abide by the Girl Scout Promise and Law:

Signature Date

Adult Membership

Check one: � New Member � Renewing Member � Lifetime Member GSUSA ID (if known)

GIRL SCOUT MISSION Girl Scouting builds girls of courage, confidence, and character, who make the world a better place.

MEMBERSHIP OPTIONS:

Annual Membership

� Annual fee: $15

Lifetime Membership (including permanent membership card and recognition certificate)

� One time fee of $375: Adults 18 years of age or older

� One time fee of $195: Girl Scout Ambassadors graduating from High School in this membership year in the month of: (please submit by Sept. 1st of graduating year)

YES! I would also like to make a donation today that directly benefits girls in our area. Enclosed is my tax-deductible donation in the amount of: (check one)

� $500 � $250 � $150 � $100 � $50 � $25 � Other: $

PAYMENT INFORMATION:

Annual Membership: $

Lifetime Membership: $

Donation: $

Total Attached: $

� Cash � Check* � Amex � Discover � Visa � MasterCard � Other

Name on Credit Card

Credit Card #

Expiration Date

Signature

Date *Make checks payable to Girl Scouts

THANK YOU FOR SUPPORTING GIRL SCOUTS! Learn more about Girl Scouts atwww.girlscouts.org.

ADMIN USE ONLY: Council Code:

Service Unit/Team:

Group/Troop:

Join the global network of 3.2 million Girl Scouts Membership Year through 9/30/20

Return this registration form, along with GSUSA annual membership fee or applicable Lifetime fee to your local council. Fees are non-refundable or transferable to another person.

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When making the GS Promise, individual members may substitute wording appropriate to their own spiritual beliefs for the word “God.”

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