Girl Scout Olympics Camp ID 5G June 24 June 26, 2016 Friday, 4:30 p.m. Sunday, 3:00 p.m. Camp Libbey 28325 State Route 281 Defiance, Ohio Registration Deadline May 6, 2016 02-2104-01
Forms in this packet need to be returned by May 6, 2016. Girl Forms: Girl Registration Form Page 3 Session Choices Page 4 Adult Forms Adult Volunteer Registration Form Page 5
Dear Caregiver: Thank you for your interest in sending your Girl Scout to camp! At camp, girls will Discover, Connect and Take Action as they learn to live the Girl Scout Law and make a difference in the world. They will discover their values and talents through a variety of outdoor activities. Girls will also connect with other girls and adults, learn how to work together as a team and use that teamwork to take action and make the world a better place. We hope you will see the value in this progressive opportunity, and will help keep the history and tradition of the camp alive by volunteering at camp with your Girl Scout. Camp is run by a dedicated team of specially trained volunteers who work year round to make this enriching opportunity possible. Volunteer camps are staffed completely by volunteers, so we welcome caregivers, aunts, uncles, grandparents and other adult friends to volunteer. A background in Girl Scouting is not necessary. Volunteers are asked to complete a volunteer application and background check, and attend training to prepare for your role at camp. Training is mandatory for all volunteers. The training date will be May 26, 2016 at 5:00 p.m., Paulding County Fairgrounds, Youth Building. For continued progressive opportunities in Girl Scouts, we also offer many other outdoor and camp opportunities listed on our website at gswo.org. Below you will find basic information about camp. Detailed information and instructions will be sent in a confirmation packet after you have registered. For additional questions or concerns please contact Barb Fetzer, Camp Director, at 419.203.5803 or at bltfetzer@gmail.com. Transportation: Transportation will be the responsibility of the caregivers. If you can provide transportation for a carpool or need help from one, contact the camp director. Directions to camp: Take State Route 127 North through Paulding to State Route 24 East. Follow State Route 24 East through Defiance. Take Exit 28 to State Route 281 (Domersville Road). Turn right at top of exit ramp. At second stop light, turn left. Follow Route 281 approximately 4 miles, Camp Libbey will be on the left (North) side of the road. (Camp is about 3 miles past the GM Foundry/Factory.) Health: A nurse or first aider will be available at camp. Check with your physician to see if a tetanus booster or any immunizations are necessary. Medications are the responsibility of the caregiver. Please give any medications your daughter may need to the health supervisor or unit leader in the original container on the first day of camp. Be sure to include written instructions. Please ensure any allergies or dietary restrictions are recorded on your Girl Scout s Health History form and pointed out during check in. Head Check All campers will be screened for head lice/nits. Girl Scout Camp has a no nit policy. Any camper found with nits or lice will not be allowed to stay at camp. If your child had lice before camp, they must be clear of all nits before they are allowed to stay on property. Clothing: Proper dress for the weather is necessary. No halters or sandals. Wear sturdy shoes, socks and hat/bandana and bring rain gear. Camp is not cancelled because of rain. Sleeping Arrangements: We will be using both tents and buildings this year at camp. Girl Scout Brownies will be sleeping in a building or a cabin. Girl Scout Juniors and higher will be asked their preference but will be assigned based on preference and order in which registration was received. Insurance: Every registered Girl Scout and registered caregiver member is automatically covered under the basic plan by Girl Scouts of the USA. This plan is effective from October to the following October. This insurance provides up to a specified maximum for medical expenses incurred as a result of an accident while a member is participating in an approved Girl Scout activity, after the individual s primary insurance pays out. Caregivers: If you feel this camp is unsafe or a hazard to children you should contact Van Wert County Children's Services Department at 419.238.5430. 1
Activity Costs: (Cost includes food, crafts, T-shirt, patch and site fees) All Girl Scouts $45 Adult Volunteers $30 Membership fee for non registered girls and adults $15 (All girls and adults participating in camp must be registered as Girl Scouts for the 2015-2016 membership year.) Make checks payable to Girl Scouts of Western Ohio. Complete the registration, session form (see back of cover page) and return with payment to: Pamela Cassidy, 9825 Pleasant Drive, Van Wert, OH 45891. Do not send registrations to the Girl Scout Center. All registrations received at the Girl Scout Center will be forwarded on a weekly basis and may cause your child to not be placed in their first choice sessions or be closed out of camp. Financial Assistance: Financial assistance may be available for girls who want to attend but are unable to do so because of limited family income. Applicants must pay at least $25 (55 percent) of the camp fee. Please include payment for the total amount your family can pay with the registration form. Financial aid is limited based on how many apply. If you are still unable to cover costs not previously paid, contact your troop leader to explore other payment options. Refund Policy: Money may be refunded for the following reasons only: 1. Moving out of town. 2. Illness or exposure to a communicable disease. 3. Required attendance at summer school. 4. Camp capacity is reached. To request a refund send a written request within ten business days from the end of camp to: Delta Dingus 9290 Bergner Road Van Wert, OH 45891 2
Camper s Name: Camp ID 5G Girl Scout Olympics -Camp 2016 Phone: Address: City: State: Zip: School: County: DOB: Age: Grade in Fall 2016: Caregivers Name: Caregivers email: Phone: Custodial Care: Mother only Father only Both Other Troop Leader s Name and Troop #: Service Unit Name or #: OR Check box if not currently registered as a Girl Scout. (Please submit your $15 registration fee to be a Girl Scout with your camp fee.) Re-registering Girl Scout New Girl Scout Units: Sleeping in: Circle preference Girl Scout Brownies (Grades 2 3) Sleeping in Cabins Girl Scout Juniors (Grades 4 5) Tents or Cabins Program Aide (Grades 6 and up) Tents or Cabins Girl Scout Cadettes (Grades 6 8) Tents or Cabins Girl Scout Seniors/Ambassadors (Grade 9 12) Tents or Cabins Buddy s Name: Does your Scout have any physical limitations that would affect her camp stay? Financial Assistance (if needed): Please complete the section below. To be answered by parent/guardian: How would this girl benefit from camp? $ Amount family can pay (applicants must pay $25.00 [56 %] of the fee) + $ Financial assistance requested = $ TOTAL I give full permission for my daughter/son to attend camp and participate in all phases of activities, except those noted. I have read the Camp flier and agree to cooperate with the guidelines listed. I understand that my camper must have written permission to leave camp early or with someone other than a caregiver. If I cannot be reached in an emergency, I give permission to give emergency treatment to my child. Caregiver Signature: Date: TOTAL FEES Camp Fee $ Registration Fee for $ non-girl Scouts (if applicable) Rock Wall Fee $3.00 or Zipline Fee - $6.00 Cookie Dough $ TOTAL $ Youth T-Shirt Size (circle one) Adult T-Shirt Size (circle one) S M L S M L XL XXL Mail completed Registration Form with fee to: Pamela Cassidy 2015 Summer Camp 9825 Pleasant Drive Van Wert, OH 45891 Deadline: Registrations will be accepted from now until Friday, May 6, 2016. Girls will be accepted on a first come, first served basis based on the number of volunteers available and according to postmark. 3
Sessions Girls need to indicate their first, second and third choices for their morning and afternoon sessions. Session #1 for Girl Scout Brownies Rock Wall Be adventurous and climb Camp Libbey s Rock Wall. Session is an extra $3.00 per girl, payable with registration. Painting Fun Surprise Painting class will be one of 3 different techniques guaranteed fun! Letter Boxing Learn to use a compass while searching for treasure. Basic Fairy Garden Learn about Fairies and set up a garden where they would like to come visit. God's Eye Shirley Warnimont. Create your very own God s Eye with colorful yarn. Cake Decorating Learn the basics of cake decorating with cupcakes. Session #1 for Juniors, Cadettes, Seniors and Ambassadors Crochet Learn to crochet and make a small carry-all Guided Painting Learn the basic of painting while making bag. a unique piece of art. Stepping Stones Create an original piece of garden art. Pop-Up Scrapbooking Create a unique scrapbook, will hold 12 photos. Bun Bucket A new twist on an old favorite, Any Girl Scout Brownie Session the sit-upon. Session #1 First Choice Second Choice Third Choice Session #2 for Girl Scout Brownies Stamped Washer Necklace Design and make a unique necklace. Guided Painting Learn the basic of painting while making a unique piece of art. Glass Art Learn how to work with glass and create an original piece of glass art. Cake Decorating Learn the basics of cake decorating with cupcakes. Painting Fun Surprise Painting class will be one of 3 different techniques guaranteed fun! Session #2 for Girl Scout Juniors, Cadettes, Seniors and Ambassadors Zipline Ride Camp Libbey s Zipline. (Must be in grade 6 Geo-Caching Have fun learning how to use a GPS and or higher) Session is an extra $6.00 per girl, payable with other navigational techniques to help seek geocaches registration. (containers). Sewing Sew your own water bottle carrier Advanced Fairy Garden Learn how to build more items for the fairies in your fairy garden. Any Girl Scout Brownie Session 3-D God's Eye A new twist on an old favorite. Pop-Up Scrapbooking Create a unique scrapbook, will hold 12 photos. Session #2 First Choice Second Choice Third Choice Girls will be placed in sessions on first come basis. If their first choice is full, they will be placed in their second choice, etc. If girls do not have a second or third choice selected, staff will place them in a session with openings. 4
Adult Volunteer Registration Form We need your help! Our camp is staffed entirely by adult volunteers. A previous Girl Scout camp experience is not necessary. Training, which will prepare you for your role at camp, is mandatory. All unit leaders must complete this form. If you are not already an approved adult volunteer, you will be asked to complete a Girl Scouts of Western Ohio Volunteer Application, a background check and to become a registered member of Girl Scouts. Ways adults can help: Adults are needed as unit leaders. Unit leaders will have fun with girls, while taking part in exciting camp activities that are pre-planned by administrative staff volunteers. They will also have the opportunity to assist girls in decision making as campers plan their unit activities for the weekend. Unit leaders must attend training, which will prepare them for their role at camp (see below). Adult volunteers, please check all that apply: Name: Phone: Cell: Address: City: State: Zip: Email: Are you a registered Girl Scout? Yes No Cell Phone: Troop #: Troop Grade Level Trained for: Service Unit Name/#: Are you a leader/assistant leader? Yes No Do you have any camping experience? Yes No Re-registering Girl Scout I would like to be a unit leader and work with: New Girl Scout for the 2015-2016 membership year. Brownies Juniors Cadettes Daughter's unit There is an adult at camp that I would like to work with (name) T-Shirts: Shirts cannot be returned or exchanged. If in doubt, order the next larger size. Sizes: Adult: Small Medium Large X-Large XX-Large XXX-Large Registrations will be accepted postmarked from now until May 6, 2016. Do not send camp registrations to the Girl Scout Center. I will attend Camp Training (mandatory) on May 26, at 5:00 p.m., Paulding County Fairgrounds, Youth Building. TOTAL FEES (payable to GSWO) Adult Camp Fee $30 Registration Fee for Non-registered registered-girl Scouts (if applicable) TOTAL $ Mail completed Adult Volunteer Form and Adult Registration Form with $30 camp fee to: Pamela Cassidy 9825 Pleasant Drive Van Wert, OH 45891