Girl Scouts of Northeast Georgia

South Forsyth Day Camp

June 16 - 20, 2008

PLEASE PRINT ALL INFORMATION CLEARLY

REGISTRATION FOR DAY CAMP: Begins: Saturday, March 15,2008 Ends: Saturday, May 24,2008

Mail to: Laura Andrews, 5125 Dorsett Lane, Suwanee, GA 30024

Please Mail Registration Form and Health History form along with payment.

Camper's Name ___________________________________________ Name Called_____________

Parent/Guardian_____________________________________________________________________

Address_________________________________________ ____City_____________________Zip_____ Email Address______________________________________________________________________

Home Phone______________________ Birthdate____________ Grade in Fall 2008_______________

[ ] Girl Scout Troop #______ Service Unit_______________________ School____________________

[ ] Individual Member

[ ] Non Girl Scout Member (please include an additional $10 to cover GSUSA Membership fee)

Mother’s Work #__________________________Father's Work # ____________________________

Mother's mobile or pager___________________Father's mobile or pager ______________________

Emergency Contact (If parents cannot be reached):

This person should be available in the event of an emergency

Name____________________________________________ Phone #___________ ________________

Address____________________________________ City_________________ Zip__________________

If there are any special needs (physical or dietary), please specify here __________________________

Did camper attend South Forsyth Day Camp last year? Yes_____ No_____

I would like to have _________________________________________________as MY BUDDY (Name one person, they must be same grade level and also list your name on their registration.)

T-Shirt Size: Youth Size ( ) Small ( ) Medium ( ) Large

Adult Size ( ) Small ( ) Medium ( ) Large ( ) X Large ( ) XX Large

One t-shirt is included in camp fee, additional shirts may be purchased at $10.00 each. $_________

Signature_______________________________________________Date____________

FEE INFORMATION: $80.00, each additional girl in same family is $40.00.

Non-Girl Scouts: Add $10 for GSUSA registration. Checks Payable to GSNEG Day Camp.

VOLUNTEER STAFF FEES: 1^st Girl at No Charge, each additional girl in same family is $40.00.

Boys(up to 11 years old) & Pixies(under 5 years old) $15.00 each.
Total Amount Enclosed $___________

Method of payment (circle one): Check Cash Cookie Bucks