Camper Name
*
First Name
Last Name
Camper's birthdate
*
MM
DD
YYYY
Girl Scout status
*
T-shirt size
*
Second camper's name
If you have an additional camper, you can add them here. Please indicate if they are eligible to stay the night.
First Name
Last Name
Second camper's birthdate
Second camper Highest grade completed
Bozeman GS Day Camp is open to girls who have completed grades K-5th.
Second camper Girl Scout status
Second camper T-shirt size
Second camper age verification
Is your second camper eligible to stay the night on Wednesday?
Second camper extra info
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent Name
*
First Name
Last Name
Phone
*
(###)
###
####
Parent's Email
*
Second Parent Name (if applicable)
First Name
Last Name
Phone
(###)
###
####
Parent's Email
Transportation
*
We offer bus transportation from the NE corner of the Applebees parking lot.
Registration fee
*
Registered Girl Scouts - $25, Non-registered Girl Scouts - $50
Message
Parent Volunteer
Parents, we need your help! Please mark any and all areas you are willing to help with. We'll be in touch if we need you. Please be aware if you are volunteering for a position where you will be around campers, you will need to be registered as a Girl Scout (paid for by camp) and be subjected to a background search. Thank you!
Parent Permission
*
I have read the event information and give my child permission to participate in the current year Bozeman Girl Scout Day Camp. I understand that Girl Scouts of Montana and Wyoming is not responsible for any personal belongings of my child.
Photo Permission
*
I give permission for photographs, videos and audio recordings of my child, taken by authorized GSMW staff or their designee, to be used for council publication, television
or internet use. Photos primarily used for this website, local GS Facebook page or council publications. Marking no will remove your child from photo opportunities at camp.
Name of Family Physician
*
Physician Phone
*
(###)
###
####
Medical Insurance Provider
*
Medical Insurance Policy #
*
Dental Insurance Provider (if applicable or write n/a)
*
Dental Insurance Policy #
*
Immunizations
Are immunizations up to date?
Date of last Tetanus Shot
*
Date of last health exam
*
Were there any medical problems at the time?
*
Has the camper had any recent injuries or surgeries. If yes, please explain.
*
Prescription medication
*
Does the camper take any prescribed medications on a regular basis?
If yes, please explain.
Limited activity
*
Is the camper restricted or limited from participating in any physical activity?
If yes, please explain.
Health conditions
*
Does your camper have any health conditions or allergies? Asthma, ADHD, Diabetes, Headaches, Seizures, etc.
Medicine at camp
While attending camp, does your camper have permission to receive any of the following? Please mark all that apply.
Emergency contact (non-parent)
*
In case we can't reach you, who is your emergency contact?
First Name
Last Name
Emergency Contact Phone
*
(###)
###
####
Authorized pickup for bus tranportation
*
Who is authorized to pick up your camper? Please list name and association.
Camper overnight
Does your PA have permission to stay overnight on Wednesday (if paired with an overnight unit) and on Thursday night (for the PA overnight)?
Thursday night Parent Night
Are you planning on attending parent night on Thursday night? If so, your camper will be kept at camp and will not ride the bus.
PA Questions : Date and Place of PA training
*
What is your camping experience?
*
Do you have special talents you could share?
*
What age group would you like to work with? If it worked out, would you rather be a lodge PA?
Please include the age group you prefer in addition to if you would prefer to be in the lodge rather than with a unit. Grades 3-5 are overnight units and you would be expected to stay the night on Wednesday night. Lodge PAs fill in where needed. This could include tasks in the lodge, arts, nature, or where needed at camp (running supplies to a unit or subbing in if needed).
Are you available the full five days? If not, when are you available? Any additional information?
*
PA Type
Would you prefer to be with a unit or be in the lodge as a specialized PA/enrichment? Please specify preference.
Alternate Camp Experience
If we have too many PAs (only one allowed per unit unless approved by unit leader and some in lodge), are you interested in taking a backpacking trip for the week instead (this is not guaranteed but will be reviewed in the case of too many PAs vs camper/unit).
Date
MM
DD
YYYY