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Girl Scouts

CAMP ALICE

CHESTER

Resident Camp

2014 4

Meet Fee

(pronounced Fay)

the Camp Director

Our Mission Girl Scouting builds girls of courage, confidence, and character, who make the world a better place.

The Girl Scout Promise On my honor, I will try: To serve God* and my country, To help people at all times, And to live by the Girl Scout Law.

Welcome to Camp Alice Chester! Great adventures and fabulous leadership experiences await girls at overnight camp. The camp experience is about success, teamwork, and challenge by choice. At Alice Chester, girls have the opportunity to discover more about themselves as they connect with others, gaining new found confidence and skills. I am especially excited for summer 2014 as this will be my first year as the camp director at Camp Alice Chester. I have many years experience directing camps throughout the U.S., as well as overseas in both Germany and Switzerland. After traveling and being away for the past ten years, I am extremely happy and excited to be back in the Midwest to be working with the Girl Scouts at Camp Alice Chester. Camp is a place that opens the door for girls to find their inner greatness by providing them with amazing opportunities to try new things, something every girl should experience.

The Girl Scout Law I will do my best to be honest and fair, friendly and helpful, considerate and caring, courageous and strong, and responsible for what I say and do, and to respect myself and others, respect authority, use resources wisely, make the world a better place, and be a sister to every Girl Scout. *The word “God” can be interpreted in a number of ways, depending on one’s spiritual beliefs. When reciting the Girl Scout Promise, it is okay to replace the word “God” with whatever word your spiritual beliefs dictate.

Lifelong friends are made at Camp Alice Chester. Girls spend their days and nights with other campers who are in the same session and similar age. Campers have two to three counselors who accompany them to activities during the day and sleep nearby at night. Our trained counselors are screened and then carefully chosen to be positive role models for girls. With their guidance, girls discover their strengths, face challenges and are motivated to achieve more than they ever thought possible. New this year! – Watch for seasonal camp staff profiles on www.gswise.org beginning in late February. Every session includes the opportunity to swim, play games, sing camp songs, create crafts and eat s’mores around the campfire. Girls sleep in four-person cabins, airy six-person platform tents, or a building with bunk beds. Most cabins and tents do not have electricity, so girls get tucked in by flashlight. The whole camp eats together in our air-conditioned dining hall with a lake view. Our sandy beach allows for lots of sand castles and relaxation. With positive role models, new friends and exciting activities, camp experiences will create memories to last a lifetime. If you have any questions, contact me at kweyland@gswise.org or 414-443-3997. See you at camp!

A typical day at Camp Alice Chester

Kat “Fée” Weyland Camp Director

7:30 a.m.

Contact Phone: 414-443-3997 Email: kweyland@gswise.org Website: www.campalicechester.com

8:30 a.m. 9:30 a.m. 10:15 a.m. 12:30 p.m. 1:30 p.m. 2:45 p.m. 6:00 p.m. 7:15 p.m. 9:00– 10:00 p.m.

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Optional early morning activity (swimming, dance party, yoga and more) Breakfast Camp Kapers (cleaning time throughout camp) Two fun morning activities* Lunch Me Time (relaxing in cabin/ tent) Three fun afternoon activities* Dinner Two fun evening activities Good night

*Activities include swimming, campfires, crafts, sports, nature, all-camp games, cookouts, prescheduled field trips and special activities celebrating the session theme.

Camp Alice Chester information

Table of contents

Important dates Monday, February 3, 2014 Registration automatically opens on Monday, February 3, at 11:00 p.m. Online registrations are processed first and then paper registrations. Sessions may fill quickly. Sessions will close two weeks before the event date if not filled earlier. Sunday, April 6, 2014 A $25 discount is given to registrations for Camp Alice Chester when full payment is made at the time of registration prior to Sunday, April 6 at 11:59 p.m. Monday, May 12, 2014 Final payments due if full payment was not made at time of registration. If you register after this day, pay in full. Sunday, May 4, 2014

Summer Celebration Open House

Program Activity Credits (PAC) Program Activity Credits (PAC) earned through the Girl Scout Cookie Program Activity or Fall Nut Sale can reduce the cost for the girl who earned the PAC to attend camp or an event. You can register prior to receiving your PACs. Once you receive PACs, write the camp/event name on the PAC and mail in if registering online or attach to paper registration form.

Discounts (Level 3 pricing only) A $25 discount is given to registrations for Camp Alice Chester when full payment is made at the time of registration prior to Sunday, April 6, 11:59 p.m. Discounts are only given on Level 3 pricing.

1:00–4:00 p.m., East Troy

Free

Financial assistance

Join us for Camp Alice Chester’s Open House. Bring your family and friends to sample some camp activities, take a camp tour and meet the Camp Director and some staff as we celebrate summer. Call us at 800-565-4475 or see your confirmation for directions.

Financial assistance is available for registered members of Girl Scouts of Wisconsin Southeast to help families meet the cost of sending their daughter to camp and events. See p.15 for the financial assistance form.

All girls welcome All girls entering grades 2-12 are welcome to attend overnight camp. If your girl is not a registered Girl Scout, include an additional $15 for membership dues with payment.

Financial assistance is funded by gifts to Girl Scouting and proceeds from the Girl Scout Cookie Program Activity. One resident camp, one day camp and one event will be considered for financial assistance per girl.

Camp Alice Chester Information ..........2-4 Girls entering grades 2-3 ............................5 Girls entering grades 4-5 ........................6-7 Girls entering grades 6-8 ....................... 8-9 Girls entering grades 9-12 ...................10-11 Additional Activities at Camp Alice Chester ................................... 12 Registration & Health History............ 13-14 Financial Assistance ................................. 15

Girls with additional needs Let us know of any concerns you may have. Our goal is to provide a positive camp experience for all girls. Providing us with information about medications, special diets and nighttime routines along with physical and mental limitations, will help us provide a positive camp experience for your girl. For specific questions or situations, please email kweyland@gswise.org or call 414-443-3997.

Para la Ayuda en Español Para asistencia en espanol con respeto a eventos de verano ofrecido por Girl Scouts de Wisconsin Southeast, o llame a 800-565-4475. Le aseguro que nuestras localizaciones son lugares magnifi cos para que su hija(s) pase su tiempo durante el verano. Las niñas estan muy protegidas, tienen mucha diversion, y tienen muchas expereincias positivas y memorables.

Flexible pricing Resident camp program opportunities for girls are subsidized by Girl Scouts of Wisconsin Southeast. This means the cost of providing camp programs and operating camp is greater than the fee paid to participate. The flexible pricing system offers families the opportunity to help cover the true cost of resident camp if they are financially able. For each session you will see three prices:

Level 1 adds an additional $50 per day to Level 3. This reflects close to the actual cost of operating camp. Replacement supplies, maintenance of the buildings and grounds, and property staff support are included in this fee.

Level 2 adds an additional $25 per day to Level 3. This covers approximately 75% of the actual cost of camp and is designed for those who can pay more but not the full fee.

Level 3 is the lowest cost of this program listed in the camp brochure and on the website. This covers approximately 52% of the actual cost of operating the camp program. Select the fee that you feel is affordable and appropriate for your family. The flexible pricing does not affect the quality of your child’s program, as all three fees are for exactly the same program. We ask that if you are able to pay the full cost of camp that you do. If choosing more than one week you may, for example, pay Level 1 for one week and another level the next week. If multiple children are attending camp you may pay the full fee for one child and another fee for another child. The goals of offering flexible pricing options is to provide the highest quality programs possible to serve all community income levels and to preserve camp for generations to come.

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Camp Alice Chester information Refunds/cancelations

How to register Registration will automatically open on Monday, February 3 at 11:00 p.m. Online registrations are processed first and then paper registrations.

• Refunds, minus the $50 nonrefundable processing fee for each session, are available for cancelations received six weeks prior to a session start date.

Online • Go to www.gswise.org and click on Camp. Click on Camp Alice Chester and then How to register.

• Within six weeks, refunds, minus the $50, will only be issued for medical reasons, summer school, a death or critical illness in the immediate family, or if the family moves out of the area.

• Create one account per family so that the camper’s parent/guardian receives confirmation. • Sessions that are full will be marked accordingly. • Pay full payment or the $50 nonrefundable processing fee, which is a part of the listed fee, with a credit/ debit card or checking account. Paper • Complete the registration and health history forms, pp.13-14 or download forms. • Pay full payment or the $50 nonrefundable processing fee, which is a part of the listed fee, with a credit/ debit card or checking account. • Mail in or bring registration form to any council resource center.

• Cancelations must be made in writing. • Full refunds will be issued if a girl cannot be placed in the session of her choice. • If a girl needs to change camp sessions there is a $25 fee after the first session change.

Confirmation Confirmations will be sent to your email address (if provided) or by mail. Confirmation will include: • An invoice if a balance is due • Family guide with a packing list • Health exam form for doctor’s signature proving an exam was completed within 24 months prior to the first day of the camp session • Additional forms and information • Directions to camp, which is located in East Troy, Wisconsin (about 40 minutes from downtown Milwaukee and Racine).

Horseback riding program Camp Alice Chester provides a progressive horse program for girls who want to build their leadership skills and confidence working with and riding horses. Each stable we go to follows GSUSA guidelines for safety and is inspected yearly. Counselors are trained in riding and safety protocol. Each level within the program allows girls to learn new skills and increase their comfort level with horses. Horseback riding is offered in sessions not listed within the horse level program and gives girls a short one hour trail ride and introduction to horses. Horse program levels: Level Level 1- Horsin’ Around Level 2- Happy Trails

Experience needed None Some experience

Level 3- Home on the Range Eight hours Level 4- Horse Pursuit Fifteen hours

Saddle used Western Western Western Western and Bareback

Time spent with horses Six hours Eight hours Ten hours Twelve hours

Stables used (stables may be added/omitted based on compliance with safety standards and insurance): • Dan Patch Stables, Lake Geneva- trail rides • Fantasy Hills Ranch, Delavan- trail rides • Camp Anokijig, Plymouth- trail ride, with overnight at camp provided 4 4

• Wilderness Pursuit, Neillsville- ring and extended trail riding, with overnight at camp provided

Health Forms • Complete the health history form, p.14, in this booklet with your registration. • Have your physician complete the health exam form, which will be part of your confirmation information. • Exams need to have been completed within 24 months prior to the first day of the camp session.

Camp Buddies Register your Girl Scout for camp with her BFF! If girls want to be placed with a specific buddy, note that on the Buddy Request line during registration. Girls need to register for the same session, be in the same grade, and list each other as their Buddy. If registering by paper, submit the girls’ forms together. Both buddies must put the others name on the Buddy Request line.

Check-in and check-out Check-in is from 2:30-4:00 p.m. Checkout is after the 30-minute family presentation that begins at 4:00 p.m. on closing day.

Transportation Transportation is available by bus/van for selected sessions. See Registration form, p.13, for sessions and locations.

Trading Post Girls may purchase souvenirs at camp. See the Camp Alice Chester registration form on p.13 for Advance Trading Post items.

Camp Care Package Surprise your camper with a Camp Care Package. Order a Camp Care Package for any Camp Alice Chester session. We will ensure a surprise delivery to your camper! Each kit comes with: • Camp Dog Tag • Camp Backpack Necklace • Plush Animal • Camp Postcards • Girl Scout Water • $25 (price Bottle includes tax) • Activity Journal Camp Alice Chester, a 333-acre property, located in East Troy, features access to Booth and a an nd Sw Swa Swan an n LLakes. akkes a ke ess.

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AC1A: Sunday, June 15-Tuesday, June 17 (two nights) New! Pixie Magic

AC6A: Sunday, July 20-Tuesday, July 22 (two nights) Jumpin’ Jammies

Take a pixie scavenger hunt, create pixie stories and dance in the light of a campfire. Make your own pixie dust, wand and lip gloss. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

Bring your favorite stuffed animal and jammies. Play late night games, make a s’more, build sand sculptures and have a pajama fashion show. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

Sun Catchers

New!

Get creative as you make sun catchers, wind chimes and bird houses. Dance, play games, sing songs and enjoy s’mores on your sunny adventure. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

AC1B: Wednesday, June 18-Friday, June 20 (two nights) Jumpin’ Jammies Bring your favorite stuffed animal and jammies. Play late night games, make a s’more, build sand sculptures and have a pajama fashion show. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

Pixie Magic

New!

Take a pixie scavenger hunt, create pixie stories and dance in the light of a campfire. Make your own pixie dust, wand and lip gloss. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

AC3: Sunday, June 29Wednesday, July 2 (three nights) Night Sprites Be on a crazy schedule with late nights and sleep-in mornings. Enjoy night hikes, stargazing, late night parties and glow-in-the-dark crafts. Fee: Level 1-$405 / Level 2-$305 Level 3-$205 on or before 4/6 - $230 after 4/6

AC4: Sunday, July 6-Friday, July 11 (five nights) Busy Bee

Sun Catchers

New!

Get creative as you make sun catchers, wind chimes and bird houses. Dance, play games, sing songs and enjoy s’mores on your sunny adventure. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

AC7A: Sunday, July 27-Tuesday, July 29 (two nights) New! Pixie Magic Take a pixie scavenger hunt, create pixie stories and dance in the light of a campfire. Make your own pixie dust, wand and lip gloss. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

AC7B: Wednesday, July 30-Friday, August 1 (two nights) New! Sun Catchers Get creative as you make sun catchers, wind chimes and bird houses. Dance, play games, sing songs and enjoy s’mores on your sunny adventure. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

AC9: Sunday, August 10-Wednesday, August 13 (three nights) Night Sprites Be on a crazy schedule with late nights and sleep-in mornings. Enjoy night hikes, stargazing, late night parties and glow-in-the-dark crafts. Fee: Level 1-$405 / Level 2-$305 Level 3-$205 on or before 4/6 - $230 after 4/6

Entering grade 3 only Do it all like a busy bee…craft, swim, make s’mores, dance, sing, play games, laugh, explore and have a slumber party. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

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nterin g G irls e

= Horse level program = One hour trail ride/ intro to horses

AC1A: Sunday, June 15-Tuesday, June 17 (two nights) Bits and Pieces

AC2: Sunday, June 22-Friday, June 27 (five nights) New! Cave and Wave

AC4: Sunday, July 6- Friday, July 11 (five nights) Happy Trails-Level 2

Try a little bit of everything. Enjoy a one hour trail ride, create a cool craft, sing songs, make s’mores and play at the waterfront. Fee: Level 1-$355 / Level 2-$280 Level 3-$205 on or before 4/6 - $230 after 4/6

Twist and turn as you crawl through 300 feet of caves. Catch the waves at camp as you try paddleboarding and canoeing to complete your adventure. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

Entering grades 5-7 For girls with some riding experience. Can’t get enough of horses? Build your skills as you work with horses riding, grooming and saddling. When your group visits Camp Anokijig for an overnight you will not only ride but can either swim or use the Voyageur canoe for a group canoe trip. Fee: Level 1-$755 / Level 2-$605 Level 3-$455 on or before 4/6 - $480 after 4/6

Short & Sweet

New!

Delight in all the sweet activities that camp has to offer. Take a dip in the lake, make ice cream and lip gloss, play games and sing songs while enjoying s’mores around the campfire. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

AC1B: Wednesday, June 18Friday, June 20 (two nights) New! Cake Bake Enjoy cakes galore! How many cakes can you make? How many ways can you bake them? Top off the session with cupcakes for the whole camp that you decorate. When you are not baking (or eating) enjoy all the other camp fun. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

Short & Sweet

New!

Delight in all the sweet activities that camp has to offer. Take a dip in the lake, make ice cream and lip gloss, play games and sing songs while enjoying s’mores around the campfire. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 • $195 after 4/6

Happy Trails-Level 2 Entering Grades 5-7 For girls with some riding experience. Can’t get enough of horses? Build your skills as you work with horses riding, grooming and saddling. When your group visits Camp Anokijig for an overnight you will not only ride but can either swim or use the Voyageur canoe for a group canoe trip. Fee: Level 1-$755 / Level 2-$605 Level 3-$455 on or before 4/6 - $480 after 4/6

AC3: Sunday, June 29Wednesday, July 2 (three nights) Animal Adventure Late Night Be on a crazy late night, sleep-in schedule. Enjoy a one hour trail ride, visit the zoo, feel animal furs and meet animals up close. Swimming, canoeing, songs, games and s’mores around the campfire add to the adventure. Fee: Level 1-$475 / Level 2-$375 Level 3-$275 on or before 4/6 - $300 after 4/6

Moonlight Magic AC1: Sunday, June 15-Friday, June 20 (five nights) Go Glam Pick what’s fun to do…stay up late, make jewelry, chat on the pier and relax on the beach. Try the spa station including hot rocks, nail painting and facials. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Horsin’ Around-Level 1 For girls new to riding. Do you love horses? Learn to groom, lead, mount, dismount and control your horse in the arena. See how horses are prepared for riding and what they eat. When you’re not with horses enjoy all of the camp fun. Fee: Level 1-$755 / Level 2-$605 Level 3-$455 on or before 4/6 - $480 after 4/6

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Be on a crazy late night, sleep-in schedule. Enjoy night hikes, stargazing, late night parties and glow-in-the-dark fun. Fee: Level 1-$405 / Level 2-$305 Level 3-$205 on or before 4/6 - $230 after 4/6

Saddle and Paddle Late Night Be on a crazy late night, sleep-in schedule. Enjoy a one hour trail ride one day and then paddle around our island on another day. Stargazing and glow-in-the-dark fun round out your experience. Fee: Level 1-$440 / Level 2-$340 Level 3-$240 on or before 4/6 - $265 after 4/6

Horsin’ Around-Level 1 For girls new to riding. Do you love horses?? Learn to groom, lead, mount, dismount and control your horse in the arena. See how horses are prepared for riding and what they eat. When you’re not with horses enjoy all of the camp fun. Fee: Level 1-$755 / Level 2-$605 Level 3-$455 on or before 4/6 - $480 after 4/6

Not Your Average Princess Discover the strong woman in you. Shoot archery like Merida, run through an obstacle course like Mulan, swim like Ariel, go on a scavenger hunt like Rapunzel and paddle a canoe like Pocahontas. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

AC5: Sunday, July 13-Friday, July 18 (five nights) New! Fashion Star Let your inner designer shine. Batik a bandana, tie dye your shorts or T-shirt, upcycle clothes into a cool accessory and then show-off your creations on the catwalk. Swimming, smore’s and songs complete the fun! Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Horsin’ Around-Level 1 For girls new to riding. Do you love horses?? Learn to groom, lead, mount, dismount and control your horse in the arena. See how horses are prepared for riding and what they eat. When you’re not with horses enjoy all of the camp fun. Fee: Level 11-$755 / Level 2-$605 Leve Le vel 3-$455 3-$ $45 on or before 4/6 - $480 after 4/6 Level

New!

Legends ‘n Lore

Cave and Wave

Sleep in a teepee, weave a dreamcatcher, make a pair of moccasins, shoot an arrow and canoe on the lake. Enjoy Native American legends around the campfire with tasty s’mores. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Twist and turn as you crawl through 300 feet of caves. Catch the waves at camp as you try paddleboarding and canoeing to complete your adventure. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

Standing Ovation

New!

Soak in the applause as you showcase the music video or play your group creates during camp. How will you star? Writer, director, actor, singer, songwriter? Recharge your creative juices swimming, playing games and eating s’mores. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Cook’s Challenge

New!

Compete in the Camp Cook Off. Create new recipes, with surprise ingredients, discover new ways of cooking in the out-of-doors and then participate in the Cook’s Challenge to see which team can create the most delectable delights. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Not Your Average Princess AC6A: Sunday, July 20Tuesday, July 22 (two nights) Bits & Pieces Try a little bit of everything. Enjoy a one hour trail ride, create a cool craft, make s’mores and play at the waterfront. Fee: Level 1-$355 / Level 2-$280 Level 3-$205 on or before 4/6 - $230 after 4/6

Cake Bake

New!

Enjoy cakes galore! How many cakes can you make? How many ways can you bake them? Top off the session with cupcakes for the whole camp that you decorate. When you are not baking (or eating) enjoy all the other camp fun. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

Woodland Warriors

New!

Play in the mudpit, take aim at archery and use night vision goggles for a night game. Round out the fun with swimming, a craft and a campfire. Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

AC7: Sunday, July 27-Friday, August 1 (five nights) Animal Adventure Enjoy a one hour trail ride, visit the zoo, feel animal furs and meet animals up close. Swimming, canoeing, songs, games and s’mores around the campfire add to the adventure. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

Discover the strong woman in you. Shoot archery like Merida, run through an obstacle course like Mulan, swim like Ariel, go on a scavenger hunt like Rapunzel and paddle a canoe like Pocahontas. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

AC8: Sunday, August 3-Friday, August 8 (five nights) Climbers and Crawlers Crawl up, over and through rock formations as you explore 300 feet of caves. Then climb all day and sleep overnight at the indoor climbing gym. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

Fashion Star

New!

Let your inner designer shine. Batik a bandana, tie dye your shorts or tee shirt, upcycle clothes into a cool accessory and then show-off your creations on the catwalk. Swimming, smore’s and songs complete the fun! Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Happy Trails-Level 2 Entering grades 5-7 For girls with some riding experience. Can’t get enough of horses? Build your skills as you work with horses riding, grooming and saddling. When your group visits Camp Anokijig for an overnight you will not only ride but can either swim or use the Voyageur canoe for a group canoe trip. Fee: Level 1-$755 / Level 2-$605 Level 3-$455 on or before 4/6 - $480 after 4/6

Horsin’ Around-Level 1 For girls new to riding. Do you love horses? Learn to groom, lead, mount, dismount and control your horse in the arena. See how horses are prepared for riding and what they eat. When you’re not with horses enjoy all of the camp fun. Fee: Level 1-$755 / Level 2-$605 Level 3-$455 on or before 4/6 - $480 after 4/6

Spy Girl

New!

Scale the climbing wall, crack the code, use night vision goggles and perfect your balance thru the spider’s web to solve the mystery challenge and complete your mission. Archery, swimming, campfires and s’mores add to the fun. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

AC9: Sunday, August 10Wednesday, August 13 (three nights) Moonlight Magic Be on a crazy late night, sleep-in schedule. Enjoy night hikes, stargazing, late night parties and glow-in-the-dark fun. Fee: Level 1-$405 / Level 2-$305 Level 3-$205 on or before 4/6 - $230 after 4/6

Pedal Paddlers Late Night

New!

Be on a crazy late night, sleep-in schedule. Explore the Horican Marsh area by both land and sea as you bike and canoe your way to relaxation. Stargazing and glow-in-the-dark fun round out your experience. Fee: Level 1-$440 / Level 2-$340 Level 3-$240 on or before 4/6 - $265 after 4/6

Saddle and Paddle Late Night Be on a crazy late night, sleep-in schedule. Enjoy a one hour trail ride one day and then paddle around our island on another day. Stargazing and glow-in-the-dark fun round out your experience. Fee: Level 1-$440 / Level 2-$340 Level 3-$240 on or before 4/6 - $265 after 4/6 77

= Horse level program

Girls entering tering Girls en

= One hour trail ride/ intro to horses

AC1: Sunday, June 15-Friday, June 20 (five nights) New! Art-Rageous

AC3: Sunday, June 29Wednesday, July 2 (three nights) Night Owls

AC5: Sunday, July 13-Friday, July 18 (five nights) Door County Explorers

Explore camp thru the artists’ eye. Spend a half day at a pottery workshop where you will create your own piece on a wheel. Back at camp create a mask, jewelry, edible art and tye dye your favorite item. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

Be on a crazy late night, sleep-in schedule. Enjoy canoeing, night hikes, dances, campfires and slumber parties. Fee: Level 1-$405 / Level 2-$305 Level 3-$205 on or before 4/6 - $230 after 4/6

Hike, bike and paddle the days away in Door County. Camp out under the stars and explore sea caves via kayaks at Whitefish Dunes State Park. Fee: Level 1-$880 / Level 2-$705 Level 3-$530 on or before 4/6 - $555 after 4/6

New!

Compete in the Camp Cook-off, create new recipes with surprise ingredients, build a cookbook and host a fondue party. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

How much fun can you pack into the night? Enjoy cosmic bowling, play night games and use night vision goggles for a scavenger hunt. Sleep-in and relax with swimming and yoga during the day. Fee: Level 1-$425 / Level 2-$325 Level 3-$225 on or before 4/6 - $250 after 4/6

AC2: Sunday, June 22-Friday, June 27 (five nights) New! Paddlers Paradise

AC4: Sunday, July 6-Friday, July 11 (five nights) Art on the Lake

Stay cool as you spend your days on the water soaking up the sunshine. Splash away during canoeing, kayaking and paddle boarding. Use your new skills on a surprise adventure trip. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

Design and paint your own works of art. Explore different paints, paper, canvas and scenery. Meet and work with an artist to create your masterpieces. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Survivor: CAC

Home on the Range-Level 3

Grab your torches and head to camp. Compete in crazy, kooky team and individual challenges and go to Tribal Council. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

For the experience rider with at least two summers of a level 1 or 2 horse camp or the equivalent. Groom, saddle and ride a horse for three days at Wilderness Pursuit Horseback Adventures where you will spend two nights. After hearing Native American horse legends, paint symbols on your horse. Fee: Level 1-$810 / Level 2-$660 Level 3-$510 on or before 4/6 - $535 after 4/6

Camp Cook-off

Yacht Sailing Entering grades 7-10 Become the crew on an environmentally friendly sailing yacht in Lake Superior for three days. During the day stop for cave exploring, kayaking, swimming and hiking. Fee: Level 1-$830 / Level 2-$680 Level 3-$530 on or before 4/6 - $555 after 4/6

AC2B and AC3: Wednesday, June 25-Wednesday, July 2 (seven nights) New! Xtreme Adventure Entering grades 7-10 For the girl who is serious about having fun in an extreme way. Challenge yourself with whitewater rafting, rappelling and zip-lining. Swimming, campfires and s’mores make this adventure complete. Fee: Level 1-$925 / Level 2-$725 Level 3-$500 on or before 4/6 - $525 after 4/6

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Sports Stars

Wilderness Wild Find your wild side while paddling, caving, hiking, building forts and cooking over a fire. Use your map and compass to find your way. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

AC4 and AC5A: Sunday, July 6Wednesday, July 16 (ten nights) Boundary Waters Bound Entering grades 7-9 Take a canoe expedition for five days in eastern Minnesota. Paddle from lake to lake in the Boundary Waters-internationally known for its beauty and wilderness. Fee: Level 1-$1,090 / Level 2-$815 Level 3-$540 on or before 4/6 - $565 after 4/6

Horse Pursuit-Level 4 Entering grades 7-9 For experienced riders having at least 15 hours of riding. Enjoy a three day overnight to Wilderness Pursuit Horseback Adventures for an extended horseback riding trip through forests and rivers. Ride and work with horses to the fullest extent including painting your horse, riding obstacle courses and bareback riding. Fee: Level 1-$860 / Level 2-$710 Level 3-$560 on or before 4/6 - $585 after 4/6

Media

New!

Complete your Media Journey by looking at how you use media, remaking something you don’t like (video, music, print) and then figuring out where media fits into your life. Take a break from all the technology during the week with swimming, boating, campfires and smore’s. (Girls will receive the Media Journey book and the awards they earn.) Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Paddlers’ Paradise Stay cool as you spend your days on the water soaking up the sunshine. Splash away during canoeing, kayaking and paddle boarding. Use your new skills on a surprise adventure trip. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

Windjammers Put the wind at your back and set sail across the lake. Learn all the basics of steering and rigging a sailboat while at the beach with friends. Be a part of the regatta (sailboat race) and spend a day at the Milwaukee Yacht Club. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

AC6A: Sunday, July 20-Tuesday, July 22 (two nights) Let the Good Times Roll New!

AC7: Sunday, July 27-Friday, August 1 (five nights) Camp, Climb, Kayak

A stop for ice cream treats along the Glacial Drumlin bike trail, makes the trip all that more fun! Swimming, games and smore’s keep the fun rolling along while at camp. Fee: Level 1-$355 / Level 2-$280 Level 3-$205 on or before 4/6 - $230 after 4/6

Bring on the adventure as you kayak, explore a climbing gym and canoe around our island. Fee: Level 1-$675 / Level 2-$525 Level 3-$375 on or before 4/6 - $400 after 4/6

Rough ‘n Tough Jump in the mud pit, camp in the teepee, wade thru the bog and explore the real outdoors. Bring extra clothes! Fee: Level 1-$320 / Level 2-$245 Level 3-$170 on or before 4/6 - $195 after 4/6

AC6: Sunday, July 20-Friday, July 25 (five nights) Beach and Trail Kayak the waters of Lake Michigan, wish upon a shooting star with your toes in a sandy beach and bike trails in Door County. Celebrate with a trip down a zipline at the Team Leadership Center in Sturgeon Bay. Fee: Level 1-$800 / Level 2-$650 Level 3-$500 on or before 4/6 - $525 after 4/6

Camping 2.0 Explore the great outdoors in Alice Chester’s backyard. Learn to canoe, funyak, hike, read a map and compass, fish and campout for two nights. You can even eat your fish for dinner. (Other dinner options available) Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Camp Cook-off Compete in the Camp Cook-off, create new recipes with surprise ingredients, build a cookbook and host a fondue party. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Home on the Range-Level 3 For the experienced rider with at least two summers of a level 1 or 2 horse camp or the equivalent. Groom, saddle and ride a horse for three days at Wilderness Pursuit Horseback Adventures where you will spend two nights. After hearing Native American horse legends, paint symbols on your horse. Fee: Level 1-$810 / Level 2-$660 Level 3-$510 on or before 4/6 - $535 after 4/6

River Voyage Entering grades 7-10 Explore the Wisconsin River and its sandbars for a three day canoe adventure. Search for shooting stars at night and bald eagles during the day. Fee: Level 1-$755 / Level 2-$605 Level 3-$455 on or before 4/6 - $480 after 4/6

AC8: Sunday, August 3-Friday, August 8 (five nights) Animal Trainer Entering grades 8-10 Get in the water for a private flippered sea animal training session with Oceans of Fun at the Milwaukee County Zoo. Also practice dog training and train another zoo animal at the Racine Zoo. Fee: Level 1-$845 / Level 2-$695 Level 3-$545 on or before 4/6 - $570 after 4/6

Apostles Adventure Entering grades 7-10 Spend three days kayaking the amazing Apostle Islands National Park in Lake Superior. Kayak your days away and camp out at night. Enjoy lots of swimming and hiking too. Fee: Level 1-$880 / Level 2-$705 Level 3-$530 on or before 4/6 - $555 after 4/6

Camping 2.0 Explore the great outdoors in Alice Chester’s backyard. Learn to canoe, funyak, hike, read a map and compass, fish and campout for two nights. You can even eat your fish for dinner. (Other dinner options available) Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

On the Edge Spend a full day climbing and belaying indoors. Then, travel to Devil’s Lake State Park for two full days of climbing with professional guides. No previous climbing experience required. Fee: Level 1-$780 / Level 2-$630 Level 3-$480 on or before 4/6 - $505 after 4/6

Survivor: CAC Grab your torches and head to camp. Compete in crazy, kooky team and individual challenges and go to Tribal Council. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

Wilderness Wild Find your wild side while paddling, caving, hiking, building forts and cooking over a fire. Use your map and compass to find your way. Fee: Level 1-$630 / Level 2-$480 Level 3-$330 on or before 4/6 - $355 after 4/6

AC9: Sunday, August 10Wednesday, August 13 (three nights) Night Owls Be on a crazy late night, sleep-in schedule. Enjoy canoeing, night hikes, dances, campfires and slumber parties. Fee: Level 1-$405 / Level 2-$305 Level 3-$205 on or before 4/6 - $230 after 4/6

Sports Stars

New!

How much fun can you pack into the night? Enjoy cosmic bowling, play night games and use night vision goggles for a scavenger hunt. Sleep-in and relax with swimming and yoga during the day. Fee: Level 1-$425 / Level 2-$325 Level 3-$225 on or before 4/6 - $250 after 4/6

99

= Horse level program

Girls entering tering Girls en

= One hour trail ride/ intro to horses

New Leadership Program While all our programs provide leadership opportunities, some girls are looking for a more in-depth experience. Our newly redesigned CIT (Counselor-In-Training) program more closely aligns with GSUSA’s CIT program and provides girls with career exploration. The CIT program allows girls to:  Work with and guide younger girls

   

Design a program to teach a group of girls Discover their personal leadership style Gain service hours for both high school and future college requirements Build their repertoire of activities and skills

Connections to future careers:  Camp counselor

    

Teacher

AC4 and AC5A: Sunday, July 6Tuesday, July 15 (nine nights) Boundary Waters Bound

Entering grades 7-10 Become the crew on an environmentally friendly sailing yacht in Lake Superior for three days. During the day stop for cave exploring, kayaking, swimming and hiking. Fee: Level 1-$830 / Level 2-$680 Level 3-$530 on or before 4/6 - $555 after 4/6

Entering grades 7-9 Take a canoe expedition for five days in eastern Minnesota. Paddle from lake to lake in the Boundary Waters-internationally known for its beauty and wilderness. Fee: Level 1-$1,090 / Level 2-$815 Level 3-$540 on or before 4/6 - $565 after 4/6

AC2B and AC3: Wednesday, June 25-Wednesday, July 2 (seven nights) New! Xtreme Adventure

AC4 and AC5: Sunday, July 6Friday, July 18 (twelve nights) New! CIT Adventurer (Counselor-in-Training Adventure Program)

Entering grades 7-10 For the girl who is serious about having fun in an extreme way. Challenge yourself with whitewater rafting, rappelling and zip-lining. Swimming, campfires and s’mores make this adventure complete. Fee: Level 1-$925 / Level 2-$725 Level 3-$500 on or before 4/6 - $525 after 4/6

Child psychologist Outdoor educator Child therapist ( i.e. speech, physical) Any career working with children

AC1B and AC2: Wednesday, June 18-Friday, June 27 (nine nights) CIT II (Counselor-in-Training II) Entering grades 11-12 Improve your leadership resume as you spend more time mentoring younger campers. Build your confidence on a high ropes course and road trip to other nearby camps. At camp, explore working with campers in different activity areas, teaching new games, and being a cool role model. There will still be time with friends. After successful completion of CIT II, you may return to camp for one session as a volunteer for a nominal fee. More details will be in your confirmation information. Prerequisite: CIT I, plus a sincere desire to work with children and to learn leadership techniques. Fee: Level 1-$840 / Level 2-$590 Level 3-$340 on or before 4/6 - $365 after 4/6

10

AC2: Sunday, June 22-Friday, June 27 (five nights) Yacht Sailing

AC3: Sunday, June 29Wednesday, July 2 (three nights) Late Night Extreme Sign this group up for brunch, not breakfast as you’ll be staying up late and sleeping in. Midnight movies and dance parties, visit a late night business, glow in the dark nails and of course lots of daytime relaxing to gear up for the night. Fee: Level 1-$425 / Level 2-$325 Level 3-$225 on or before 4/6 - $250 after 4/6

Entering grades 11-12 What does it mean to take campers horseback riding, caving or on a canoe trip. Expand your leadership skills by experiencing our adventure programs while building your counseling techniques. Learn how to help campers overcome fears and challenge themselves to try new activities, as you do the same. There will still be time with friends for swimming, fun and campfires. Prerequisite: CIT I, a sincere desire to work with children and to learn leadership techniques. Fee: Level 1-$925 / Level 2-$650 Level 3-$375 on or before 4/6 - $400 after 4/6

AC5: Sunday, July 13-Friday, July 18 (five nights) CIT I (Counselor-in-Training I)

AC7: Sunday, July 27-Friday, August 1 (five nights) CIT I (Counselor-in-Training I)

Entering grades 10-12 Begin the journey from camper to staff and discover your leadership potential. Enjoy low ropes adventures, and enhance your skills in team-building, leading activities and kid savvy responsibility. Put your skills into practice as you work with campers along side the counselors in a unit. Enjoy time swimming, boating and just having fun with your friends! Fee: Level 1-$605 / Level 2-$455 Level 3-$305 on or before 4/6 - $330 after 4/6

Entering grades 10-12 Begin the journey from camper to staff and discover your leadership potential. Enjoy low ropes adventures, and enhance your skills in team-building, leading activities and kid savvy responsibility. Put your skills into practice as you work with campers along side the counselors in a unit. Enjoy time swimming, boating and just having fun with your friends! Fee: Level 1-$605 / Level 2-$455 Level 3-$305 on or before 4/6 - $330 after 4/6

Horse Pursuit-Level 4

River Voyage

Entering grades 7-9 For experienced riders having at least 15 hours of riding. Enjoy a three day overnight to Wilderness Pursuit Horseback Adventures for an extended horseback riding trip through forests and rivers. Ride and work with horses to the fullest extent including painting your horse, riding obstacle courses and bareback riding. Fee: Level 1-$860 / Level 2-$710 Level 3-$560 on or before 4/6 - $585 after 4/6

Entering grades 7-10 Explore the Wisconsin River and its sandbars for a three day canoe adventure. Search for shooting stars at night and bald eagles during the day. Fee: Level 1-$755 / Level 2-$605 Level 3-$455 on or before 4/6 - $480 after 4/6

AC6B: Sunday, July 20Wednesday, July 23 (three nights) New! Have It All Paddleboard, take a one-hour trail ride and zipline thru the trees. You can do it all! When everyone else leaves, you get camp to yourself for a day. Fee: Level 1-$500 / Level 2-$400 Level 3-$300 on or before 4/6 - $325 after 4/6

AC9: Sunday, August 10Wednesday, August 13 (three nights) Late Night Extreme

New!

Sign this group up for brunch, not breakfast as you’ll be staying up late and sleeping in. Midnight movies and dance parties, visit a late night business, glow in the dark nails and of course lots of daytime relaxing to gear up for the night. Fee: Level 1-$425 / Level 2-$325 Level 3-$225 on or before 4/6 - $250 after 4/6

AC8: Sunday, August 3-Friday, August 8 (five nights) Animal Trainer Entering grades 8-10 Get in the water for a private ippered sea animal training session with Oceans of Fun at the Milwaukee County Zoo. Also practice dog training and train another zoo animal at the Racine Zoo. Fee: Level 1-$845 / Level 2-$695 Level 3-$545 on or before 4/6 - $570 after 4/6

Apostles Adventure Entering grades 7-10 Spend three days kayaking the amazing Apostle Islands National Park in Lake Superior. Kayak your days away and camp out at night. Enjoy lots of swimming and hiking too. Fee: Level 1-$880 / Level 2-$705 Level 3-$530 on or before 4/6 - $555 after 4/6

11

at Ca m

p Ali

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The following events are also taking place at Camp Alice Chester this summer. These events are designed for a girl and a special adult to attend. All girls are required to be accompanied by an adult. For more details and to register, see the Summer Events booklet or register online at www.gswise.org.

My Gal and Me Entering grades 1-12 Bring your mom, grandma and /or favorite adult female to a one or two night stay at camp. Swim, craft, play and relax.

My Gal and Me Sailing Entering grades 5-12 Bring your mom, grandma, and /or favorite adult female and learn how to sail together. Take a sailboat ride, learn to right the boat and then get sailing lessons.

Fall Festival Entering grades 1-12 Come with your family or troop and enjoy camp in the fall. Rock climb, eat s’mores, play games, make crafts and celebrate autumn.

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este

r

Camp Alice Chester Registration Please print clearly and use blue or black ink Registration accepted up to two weeks before session or until session meets capacity. Register online at www.campalicechester.com or complete and mail to: Girl Scouts of Wisconsin Southeast, P.O. Box 14999, Milwaukee, WI 53214-0999

Camper’s name:

School:

Address:

City:

County:

State:

Phone: ❒ Home ❒ Cell ❒ Work: (

)

Birthdate:

Zip: Troop # (if applicable):

Grade in Fall 2014:

Girl Scout Council: ❒ Girl Scouts of Wisconsin Southeast (GSWISE) ❒ Other (Please specify): Confirmation information will be sent to your email address listed below. Please print clearly. Email address for confirmation: Buddy Request (Name): First Choice: Session#

Date

Optional transportation for an additional $35 is only available for camp sessions AC2, AC4, AC5 and AC8

Location:

Session name: Second Choice or Additional Session (Circle One): Session#

Date

Check One: ❒ Both ways ❒ To Camp ❒ From Camp ❒ None needed

Location:

+$

Check One: ❒ Marion Chester Read Center • 131 S. 69th St., Milwaukee ❒ Martin Luther King Library • 310 W. Locust, Milwaukee ❒ Ives Grove Park and Ride • Hwy. 20 and I-94, Racine

+$

Advance Trading Post (optional)

Session name:

+$

Session Fee Additional Session Fee Transportation ($35 ) x #

of session(s)

GSUSA Membership Dues for non-Girl Scout ($15)

+$

Advance Trading Post order

+$

Accept my tax-deductible gift to support camp

+$ Total fees

Program Activity Credit (attach) PAC #

–$

Financial Assistance (attach)

–$

Gift Certificate (attach) #

–$

Size

+$

Subtract discounts

–$

TOTAL

=$

Amount Enclosed

=$

Enclose full amount which already includes the $50 nonrefundable deposit or enclose a minimum of $50. Outstanding balances, including gift certificates and Program Activity Credits are due May 12. If you register online or pay by credit/debit card, outstanding balances will be automatically charged no later than May 15. Pay in full if registration is received after May 12. Any additional fees or outstanding balances will be automatically charged 7-10 days prior to camp. For all credit/debit card or check/e-check transactions, bank/credit card statements will show payments processed by Active Network.

Check enclosed payable to GSWISE Charge ❒ Visa ❒ MasterCard Account # Card holder’s name (print) Signature

T-Shirt • $14

YS (6-8) YM (10-12) YL (14-16) AS AM AL AXL AXXL

Sweatshirt • $30 N/A

Camp Care Package $25 Race/Ethnicity (optional, check all that apply)

Race

❒ American Indian or Alaskan Native ❒ Hawaiian or Pacific Islander ❒ White (Caucasian) ❒ African American or Black

Ethnicity

❒ Asian ❒ Hispanic or Latino

$

Exp. date

I have read the camp information and agree that my camper and I will abide by the regulations and procedures stated therein, including those on refund, nonrefundable deposit, and health of camper. I understand that I am responsible for getting my camper to and from this camp or bus stop. I give my camper permission to ride the bus, if applicable. I give my camper permission to attend and participate in all phases of this session (except those noted on the Health History form), including off-site trips, if applicable. I give permission for photographs/video of my camper to be taken for GSUSA, GSWISE, and American Camp Association publicity and marketing purposes. If my camper is not already a registered Girl Scout, I give my permission for her to register as a member of the Girl Scouts of the USA.

Parent/guardian signature:

Date

Over for Mandatory Health History Form

13

Health History Complete and mail to: Girl Scouts of Wisconsin Southeast, P.O. Box 14999, Milwaukee, WI 53214-0999 Please print clearly and use blue or black ink.

Campers’s name: Session #1:

Date of session:

Session #2:

Date of session:

Session #3:

Date of session:

Mother/guardian name:

Phone during camp hours: (

)

Phone #2:(

)

Father/guardian name:

Phone during camp hours: (

)

Phone #2:(

)

Camper in custodial care of (check one): ❒ Both ❒ Mother ❒ Father ❒ Other Person(s) authorized to pick up child at camp/bus stop: Emergency Contacts (besides parent/guardian) 1. Name: Phone during camp hours: (

Relationship: )

Phone #2:(

2. Name: Phone during camp hours: (

)

Relationship: )

Phone #2:(

)

Medical History Family physician name:

Phone:(

Are any medications taken on a regular basis? ❒ Yes ❒ No

)

If yes, does this need to be administered at camp? ❒ Yes ❒ No

If yes, explain: Do you have any restrictions or special needs related to physical activity? ❒ Yes ❒ No If yes, explain: The following nonprescription medications are commonly stocked in the camp health center and used on an as needed basis to manage illness and injury. Cross out any of the following items the camper should NOT be given. • Antibiotic ointment (Neosporin) • Aloe or burn gel • Benadryl • Laxative • Anti-itch cream or lotion • Tums • Eye Drops • Anti-diarrheal • Athletes foot ointment or • Ibuprofen (Advil, Motrin) • Rubbing alcohol • EpiPen powder • Acetaminophen (Tylenol) • Hydrogen Peroxide Immunization Dates (M/D/Y) (Series completed, Year of booster) “Current” is not acceptable.

Check All That Apply Illnesses ❒ Heart defect/disease

Allergies - include specifics

❒ Animals:

Others/Special Needs

Polio

❒ Musculoskeletal disorders

MMR

❒ Asthma

Hepatitis B

❒ Bleeding/Clotting disorder

Varicella/HIB

❒ Seizures

❒ Nuts:

Since last health exam: ❒ Exposed to a contagious disease ❒ Had a surgical operation ❒ Had a serious illness Describe:

❒ Diabetes

❒ Milk:

❒ Other:

❒ Food(specify):

❒ Wears contacts/glasses ❒ Fainting ❒ Ear problem/tubes ❒ Hearing impairment ❒ Emotional behaviors ❒ ADD/ADHD (circle one) medicated not medicated ❒ Sleep disturbances

❒ Other (specify):

❒ Menstrual cramps

Type & Severity of Reaction:

❒ Nosebleeds

Tetanus or DPT

❒ Insect stings: ❒ Pollen: ❒ Latex: ❒ Medicine/Drugs:

❒ Other: Please explain any items that you check. Include any useful information relative to any of these health conditions.

I give my permission for my camper to receive necessary health care, prescribed medications, and emergency medical treatment. This health history is complete and accurate. I will not allow my camper to attend if they become exposed to any contagious disease, or if for any reason, I do not consider my camper to be in good physical condition. Upon arrival the camp health personnel have the right to refuse to admit anyone to the camp who does not meet the acceptable health conditions, e.g. temperature, contagious disease, etc.

Parent/guardian signature: Date: A health examination with a doctor' s signature dated within 24 months prior to camp session is required. 14 This form will be included in the confirmation information.

Summer Camp Financial Assistance Form Please print clearly and use blue or black ink.

• If you registered online, mail this form to the Financial Assistance is available towards the camp fee, transportation and overnight during address listed within one week or mail with paper camp (if applicable). Advance Trading Post orders are not covered by Financial Assistance. Each registration and $50 nonrefundable deposit for form is considered on an individual basis and information provided will be kept confidential. One resident camp or $25 nonrefundable deposit for resident camp, one day camp and one event will be considered for Financial Assistance per girl a day camp. depending on need. • You will receive a letter/email indicating the I am applying for Financial Assistance for: amount granted and amount due, if any. Girl’s name: Grade in fall 2014: • Participant needs to be a registered member of Girl Scouts of Wisconsin Southeast. Address: • Use one form per applicant. City: County: Complete and mail to: Girl Scouts of Wisconsin Southeast State: Zip:

ATTN: Financial Assistance P.O. Box 14999 Milwaukee, WI 53214-0999

Parent/guardian name: Phone #1: (

)

Phone #2: (

)

Email:

For Resident Camp only: check one ❒ Alice Chester ❒ Camp iGirl Has this camper participated in: ❒ Fall Product Sale ❒ Cookie Program Activity Session Title: Check Household Income Range: ❒ $0-$10,000 ❒ $10,001-$20,000 ❒ $20,001-$25,000 Session Dates: For Day Camp only: check one ❒ $25,001-$30,000 ❒ $30,001-$35,000 ❒ $35,001-$40,000 ❒ $40,001-$50,000 ❒ Girl Day Camper ❒ $50,001-$60,000 ❒ $60,001-$70,000 ❒ $70,001-$80,000 ❒ $80,001-$90,000 ❒ $90,001+ ❒ PAIT ❒ PA ❒ CIT I Please check the camp of choice: Number of people living on this income: Children Adults Volunteer Led Day Camps Statement of Need: Please state specific reasons why this assistance is needed. ❒ Lakeland-  June 9-13 Use a separate sheet of paper if necessary. ❒ Deer Trails- June 16-20 ❒ Rising Stars and Meadow Springs- June 16-20 ❒ Prairie Hill- June 23-27 ❒ Sunny Trails- July 7-11 ❒ Enchanted Waters- July 14-18 ❒ Trefoil- July 14-18 ❒ Whispering Willows- July 14-18 The early registration discount will be granted only if the registration form and Financial Assistance ❒ River Valley- July 21-25 form are received before the early registration date. ❒ Sun Lakes- July 21-25 Fees: ❒ Alpha Moraine- July 28-Aug 1 ❒ Glacier Hills- July 28-Aug 1 Total camp fee: $ ❒ Windy Waters- July 28-Aug 1 Bus fee (if applicable): +$ ❒ Woodland Trails- July 28-Aug 1 Day camp overnight fee (optional): +$ ❒ Arrowhead- August 4-8 ❒ Country Cousins- August 4-8 TOTAL FEES: =$ Line A ❒ Kenosha- August 4-8 Subtract Nonrefundable Deposit ❒ Indian Springs- August 11-15 ($50 resident camp) ($25 day camp) (if applicable): –$ ❒ Northern Lights- August 11-15 Subtract Program Activity Credit (if applicable): –$ Silverbrook Day Camp: Line B TOTAL CREDITS: =$ ❒ SB6- July 21-25 ❒ SB1- June 16-20 Total fees (Line A): $ ❒ SB7- July 28-August 1 ❒ SB2- June 23-27 Minus Total Credits (Line B): –$ ❒ SB3- June 30-July 3 ❒ SB8- August 4-8 AMOUNT REQUESTED: =$ ❒ SB9- August 11-13 ❒ SB4- July 7-11 ❒ SB5- July 14-18

Registered Girl Scout for 2013-2014? ❒ Yes ❒ No Troop #:

I verify that the information given is correct and true. Parent/guardian signature:

Individual: ❒ Yes ❒ No

Date:

Parents will be notified of any balance due. Balances need to be paid before the start of the camp or event.

15

Girl Scouts of Wisconsin Southeast 131 South 69th Street P.O. Box 14999 Milwaukee, WI 53214-0999

Christy L. Brown, CEO Kathleen O’Brien, Board Chair Girls Scouts of Wisconsin Southeast is funded by area United Ways, public support, and program activities.

what matters.™


2014 Camp Alice Chester Resident Camp Book