Troop Camp Registration Form

Please complete and submit this form, with entire payment. Full payment is required prior to session.
If you are requesting financial aid, please complete the financial assistance application
A confirmation including directions will be e-mailed to the address provided

Advisor's Name: First A value is required.	Last: A value is required.		Work Phone: A value is required.
Address: A value is required.		Apt:	Cell Phone: A value is required.
City: A value is required.	State: A value is required.	Zip: A value is required.	Email: A value is required.
Grade Level: Girl Scout Daisy Girl Scout Brownie Girl Scout Junior Girl Scout Cadette Girl Scout Senior Girl Scout Ambassador Please make a selection.

Troop #: A value is required.	Local Council Name if not Manitou:
Please select the session you wish to attend: Silly Olympics Troop Camp (July 13-15) Silly Olympics Troop Camp (August 3-5) Troop Camp with a Twist (August 3-5) Please make a selection.	Number of Adults: A value is required.	X	$40	=	$ A value is required.
	Number of Girls: A value is required.	X	$80	=	$ A value is required.
	Number of Adults Beyond Recommended Group Camping Rations: A value is required.	X	$80	=	$ A value is required.
	Early Bird Discount: Please calculate 15% off camp session if submitted by April 2		Total		$ A value is required.

Please list names of girls that will be attending Troop Camp:
A value is required.

Please list names of adults that will be attending Troop Camp:
A value is required.

Please list any special need (dietary, medical, etc.) that you or any of your campers may have:

Please list names, amounts, and program credit card numbers of any girls paying via program credit card, one per line:
Name	Amount	Program Credit Card #

Financial Assistance Application for Girls Form(s) submitted (members of Girl Scouts of Manitou Council only): Yes No Please make a selection.
Number of girls applying for financial assistance: Amount Requested:

Payment Type: Visa MasterCard Discover Please make a selection. Amount: $ A value is required.

Card #: A value is required. CVS #: A value is required. Expiration Date: A value is required.

Name on Card/Signature: A value is required.

I understand that the camp fee is non-refundable after registration has been confirmed:
Advisor's signature: A value is required. Date: A value is required.

Camp

Troop Camp Registration Form

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Camp

Troop Camp Registration Form

Helpful Links: Contact Us Site Map Hours

Commitment:

Also Visit:

Helpful Links:
Contact Us
Site Map
Hours