RegistrationRegistrations will be processed on a first come/first served basis. Use the Family Camp Registration Form on page 30 to register.

CostPrice includes all meals, lodging, insurance, program supplies, staffing and equipment.

Ages 5 and older: $110Children 4 and under: Free

Confirmation deposit: $25 per personThe confirmation deposit is due only if your family is placed in the pro-gram. Please mail your deposit within 10 business days of receiving your confirmation notice. Family Camp packets with complete details, direc-tions, and schedule will be mailed in early August.

Calling all campers! Bring your parents, grandparents, brothers, sisters, and friends to camp! Join us for a fun-filled Labor Day weekend adventure, September 2- 5. Bear Creek’s Family Camp is a chance for families to design their own camp adventures. Try swimming, canoeing, kayaking, sailing, windsurfing, and archery. Make crafts, play games, hike, build sand castles, and sing around a blazing campfire. You can even take a pontoon boat ride around the lake! Special programs will be offered all weekend. Families can choose to participate in as much or as little as they please. Housing is provided in our open-air cabins and platform tents. Remember, we’re rustic! There is no elec-tricity in the cabins or tents. (Please see page 5 for Bear Creek site information.)

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Labor Day Weekend September 2nd - 5th, 2011

30

Bear Creek Family Camp RegistrationSeptember 2-5, 2011

Please fill in the form completely. Mail to: Girl Scouts of Kentuckiana, P.O. Box 32335, Louisville, KY 40232-2335 or Fax: 502-634-0837. Information packet will be sent with confirmation of registration. A confirmation deposit of $25 per person is due within 10 business days of notification to hold your space. The balance of the camp fee is due August 1, 2010. Space is limited.

Family Name

Home Address

City State Zip

Daytime Phone Evening PhonePlease list all participants beginning with adults. Put a check in the “G.S.” column for each Kentuckiana Girl Scout

Member (girl or adult). *Record age of each minor child and an “A” for each adult in the “Age” column. Name GS Age* Name GS Age*

Age # Participants Fee Amt. Due

5-Adult $1104 and Under Free Total DuePlease explain if there is anyone in your group with physical or age limitationswho needs housing near the main area of camp. Our camp site is rustic, but we will do our best to accommodate.

I am voluntarily registering my family for this event. I hereby hold Girl Scouts of Kentuckiana harmless for any injury or damages sustained while in attendance. I have read and understand the camp brochure and agree to cooperate with all Girl Scout policies and regulations. I understand that Girl Scouts of Kentuckiana is not responsible for loss or damage to my family’s personal equipment. I understand that families are responsible for the care and supervision of their own children. I understand that confirmation depos-its are not refundable if my family is confirmed for camp, and the balance is refundable only for emergency reasons. Permission is granted to use any camp pictures of myself and my family members for Girl Scout promotional purposes.

Signature: ________________________________________________ Dates: ____________________________

Please list your unit preference (placement is not guaranteed):____ Tent _____ Open Aired Cabin

Unit Preference:____________________