Summer Camp Registration Form - 2017
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1
2SUMMER CAMP REGISTRATION FORM 2017
(page 1)
Register online at
PART 1: PERSONAL INFORMATION
Parent/Guardian Last Name
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian First Name
Address
City
State
ZIP
Home Phone
Work Phone
Cell Phone (s)
Can we email the confirmation packet and camp forms? Yes No
Primary Parent Email Address
Girl’s Last Name
Girl’s First Name
Grade in September 2017
Date of Birth
Address (if different)
City
State
ZIP
Home Phone
Currently a Girl Scout? Yes No Troop # (if applicable)
Buddy’s Full Name – only one. (Buddy must be registered for the same camp session and program.)
PART 2: PROGRAM INFORMATION
1
Choice Camp:
st
Program Name:
Dates:
Cost: $
2
nd
Choice Camp (if 1
st
choice is full):
Program Name:
Dates:
Cost: $
Day Camp Transportation
TO CAMP: Bus #
Stop:
FROM CAMP: Bus #
Stop:
Resident Camp Transportation ($50 each way)
TO CAMP (check one): Boston Braintree Woburn
FROM CAMP (check one): Boston Braintree Woburn
ADDITIONAL PROGRAMS OR CAMPS
1
st
Choice Camp:
Program Name:
Dates:
Cost: $
2
nd
Choice Camp (if 1
st
choice is full):
Program Name:
Dates:
Cost: $
Day Camp Transportation
TO CAMP: Bus #
Stop:
FROM CAMP: Bus #
Stop:
Resident Camp Transportation ($50 each way)
TO CAMP (check one): Boston Braintree Woburn
FROM CAMP (check one): Boston Braintree Woburn
For more information on our camps or to register online, visit
REGISTRATION FORMS | 67
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