Number Street Town/City Postal Code

Guest Camper Registration Form

Mail form with payment by date specified to:
GM2016 Guest Camper Registrar
2312 34th AVE NW
Calgary AB T2L 0V2
or, email
Note: registration is limited and not confirmed until payment & completed forms are received
DEADLINE TO REGISTER IS MAY 15, 2016
GM2016 Guest Camper Program (choose one)
□ Day Camp, Sunday, July 10, 2016, $30.00 per person (includes GST)
□ Day Camp, Friday, July 15, 2016, $30.00 per person (includes GST)
□ Overnight Camp, Monday, July 11, 2016 to Tuesday, July 12, 2016, $65.00 per person (includes GST)
□ Two night Camp, Tuesday, July 12, 2016 to Thursday, July 14, 2016 $90.00 per person (includes GST)
Contact Guider / Phone Number
Email Address / Guiding Area or Community
Address

Number Street Town/City Postal Code

Contact Patrol Guider (iMIS #) / First Aid Certification Expiry Date, if applicable
Patrol First Aider Name / (imis Number) / Email address
Patrol First Aider (iMIS #) / First Aid Certification
Expiry Date
(iMIS #)
Name of Participant (one per line) / Address / Phone / iMIS # / Branch / Dietary Concerns / Allergies / For Overnight & 2 nights camp only
Swim Test in iMIS
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
□ Spark
□ Brownie
□ Guide
□ Guider / □ Yes
□ No
All Guiders attending must be an adult Member of GGC with Safe Guide training
All girls attending must be a Member of GGC

------Method of Payment ------

❑ Cheque (made payable to Girl Guides of Canada) / Amount / $

Note: The Registrar will notify the Contact Patrol Guider when the registration has been accepted.

Additional Information may be requested at that time.

Cancellation Policy:
No refunds will be issued for the Guest Camper program except for medical reasons with a doctor’s note.

We protect and respect your privacy. Your personal information is used only to communicate within our organization. We do not provide or sell this information outside our organization. For further information, please see our privacy statement at www.girlguides.ca