Canoe Be a Leader?
What Is "Canoe Be a Leader?" This program is designed for girls who are currently in 6th-12th grade. The program will consist of several events, starting in November of 2010 and ending in May of 2011, which will culminate in an adventure weekend near Cumberland Falls. Events will range in focus from outdoor adventure, to careers, to volunteering to paddling and much more. Girls must participate in at least 2 events to qualify for the final trip.
How did we choose the events? Luckily for us, we had some very involved girls who participated in the program last year who wanted to help plan this year’s program. We met, and they gave us many ideas and listened to ours (telling us what they liked, and what they didn’t!) This program is really meant to be about the girls,so we have always relied heavily on Girl-Planning. We ask girls to help us plan where we are going, what we are doing, where we are sleeping and, really, anything in between!
How is this program possible?
Thanks to a generous donation by Lisa and Dan Jones the “Canoe Be a Leader?” program can be offered for the low fee of $7.50 for each event. This allows participants in the program to pay very little for very cool experiences that might not otherwise have been possible. We also offer Financial Assistance for all of our events. If you have questions about Financial Assistance, please contact Christy Dupin: cdupin@kyanags.org or 502-636-0900 ext. 23100.
How can you get involved?
There are several ways that you can participate in the “Canoe Be a Leader?” program. You can get involved in the “Canoe Be a Leader Challenge” which is explained on the next page, or you can attend any or all of our events! Just fill out the registration form, and send it back to the Council Office along with payment for the events that you plan on attending. If you have any other questions, please contact Christy Dupin: cdupin@kyanags.org or 502-636-0900 ext. 23100.
1
Program Calendar
****Note: All programs are subject to change or cancellation due to low attendance, weather, interest, problems with scheduling, etc. If there is to be a change or cancellation participants will be notified as soon as a decision is made. Kick-Off Sleepover (November 5-6): Come enjoy a night just chillin’ out with your friends in the Troop House at the Program and Learning Center in Louisville. Climb the indoor rockwall, decorate cookies, play cards, make pizza and watch movies. A nice relaxing way to kick off the season in style! (Dinner and breakfast are provided) Dreamriders and Camp Pennyroyal Overnight (November 20-21): We will be travelling to Dreamrider’s stable. Learn about Dreamriders’ amazing therapeutic riding program, get the scoop on how to care for an entire stable full of horses and maybe even hop on for a ride of your own! Then head back to Camp Pennyroyal for an overnight full of campfires and laughter! (Breakfast on Saturday through breakfast on Sunday are provided.) Train Trip and Kentucky Railway Museum (December 11): Come on a road trip with us to New Haven, Kentucky. Then board the passenger train for a real live railroad experience! See the way people travelled before the rise of the car, and check out the museum to explore the many fascinating facets of the history of the locomotive! (Lunch will be provided.) Newport Aquarium (January 8): Come see what awaits you at the Newport Aquarium. Enjoy the classic tour of the aquarium and have time to find out more about careers in marine biology! Learn just what happens on the ocean floor. (Breakfast, lunch and dinner will be provided.) Women’s Leadership Panel (January 19): This evening event will give you the chance to ask women leaders in our community “How did you get where you are now?” We hope to secure women leaders from many different fields including: sports, academics, law, politics, military, science and medicine. This event will be open to parents, and a light snack will be provided.
2
American Red Cross Safe Sitter Course (February 8, 9, 15, 16): This Series event will help you learn the ins and outs of caring for kids! The American Red Cross “Safe Sitter Course” will be conducted at the PLC (the Girl Scout Program and Learning Center in Louisville), and when you have finished the course you will receive a certificate stating that you have taken the training! (a light snack will be provided.) Learn about Being a Vet (March 2): Come get a behindthe-scenes look at a local animal hospital. Talk to the staff about their experiences and what it means to actually be a vet. (a light snack will be provided.) Wilderness Survival (March 12-13): Come to an adventure weekend at Stem Adventure Center with the outdoor program staff where you will learn the basics of wilderness safety, including what to do if someone in your group is injured, how to start a one-match fire and what to do if you are caught out in bad weather. Stay overnight in a wilderness shelter that you design and build using Leave No Trace ethics! (breakfast on Saturday through breakfast on Sunday will be provided.) Spring Camporee for Younger Girl Scouts (April 16-17): Help plan and run a Spring Camporee to be held at Camp Shantituck that gets Brownies and Juniors excited about camping. Help create the budget, choose the programming and work on the marketing of the event! This event will really help you see the anatomy of Event Planning! After the girls have left, hang out with your friends and talk about the whole experience! (breakfast on Saturday through breakfast on Sunday will be provided.) Sheltowee Trace Weekend Trip (May 13-15): Leave from Louisville on Friday and head down to the Cumberland River where many adventures await you. Spend Saturday white-water rafting on the river and Saturday night cooking out under the stars. On Sunday, we will take time to explore the hiking trails of Cumberland Falls State Resort Park. (dinner Friday through lunch on Sunday will be provided.)
Canoe Be a Leader Challenge
The “Canoe Be a Leader Challenge” was designed to exchange volunteer hours for money to go to camp. For every hour of service that you provide to your community, we will give you a dollar for your summer camp experience! You can earn up to $150 towards your summer camp fees! You could provide service in soup kitchens, nursing homes, pet rescues, hospitals, community clean-ups, etc. To enroll in the program, all you need to do is fill out the registration form, and someone will contact you to let you know how to start gaining your CampCash. CampCash has no monetary value and can only be used for Resident Camp fees. Participation in other “Canoe Be a Leader?” programs is not required to participate in the “Canoe Be A Leader Challenge.” 3
“Canoe Be a Leader?” Registration Form Name: _________________________________ Address: _________________________________________________________ City: __________________________ State: ______
Zip: ______________ E-mail:__________________________________
Date of Birth: ____________________Grade in fall of 2010:_________________ Troop Number: _______________________ T-shirt Size (please circle one):
YS
YM
YL
AS
AM
AL
AXL
Parent/Guardian Name: _______________________________________ Phone Number: (Day) __________________________________(Evening) ____________________________________ Emergency Contact: _________________________________________ Phone Number: (Day) __________________________________(Evening) ____________________________________ Events: Please place a check next to each event you are registering for: ______ November 5 and 6
PLC Camp-In
Transportation Not Provided
______ November 19-20
Dreamriders and Pennyroyal
Transportation Needed: ______ Yes
______ No
______ December 11
Train Ride and Museum
Transportation Needed: ______ Yes
______ No
______ January 8
Newport Aquarium
Transportation Needed: ______ Yes
______ No
______ January 19
Women’s Leadership Panel
Transportation Not Provided
______ February 8, 9, 15, 16
ARC Safe Sitter Course
Transportation Not Provided
_____ March 2
Behind-the-Scenes Vet Visit
Transportation Not Provided
______ March 12-13
Wilderness Survival at Stem
Transportation Needed: ______ Yes
______ April 16-17
Spring Camporee
Transportation Not Provided
______ May 13-15
Sheltowee Trace
Transportation Needed: ______ Yes
Fees: Number of Events:
______ No
______ No
______ x $7.50 = ______________ (Total Cost)
You will also be required to fill out a health history form that is included in this booklet. Transportation will be provided for some events from various service centers. If you are interested in participating but have questions about transportation, please contact Christy Dupin: cdupin@kyanags.org or 502-636-0900 ext. 23100. Are you interested in participating in the Canoe Be a Leader Challenge: ______ Yes _______No (If you are interested, we will send a volunteer hour timesheet, along with further instructions) I give full permission for my daughter to attend this program and participate in all activities. I have read and understand the information regarding this program and agree to cooperate with all payments and registration policies and Girl Scout regulations. I agree that any photographs or video footage taken of my daughter at camp may be used in publications, videos or on Girl Scouts of Kentuckiana website (www.kyanags.org) to promote the Girl Scout Program. I understand that Girl Scouts of Kentuckiana is not responsible for loss or damage to camper’s personal equipment. I hereby hold Girl Scouts of Kentuckiana, Inc., harmless for any injuries or damages sustained to my daughter while in attendance.
Parent Signature: _____________________________________________________
4
Date:____________________________
There are several “Canoe Be a Leader?” events where food is provided. Please fill out the following survey about the things that you are interested in eating! 1.
What are some things that you like to have for breakfast?
2. What are some things that you like to have for lunch?
3. What are some things that you like to have for dinner?
For the following restaurants, please check either “I really enjoy this food,” “I don’t love it, but I would still eat it” or “No WAY! I hate it!”: I really enjoy this food! I don’t love it, but I would No WAY! I hate it! eat it Panera Bread Jimmy Johns Subway Pizza Mark’s Feed Store (BBQ) McDonalds KFC Taco Bell Buffets (Ryan’s, Golden Corral, etc.) Tumbleweed Qdoba Buffalo Wild Wings Chinese Food Chick-Fil-A If we do have a meal that you absolutely do not want to eat would you eat a good old-fashioned PB&J? Yes No If you will not eat one of the meals above, and you also will not eat a peanut butter and jelly sandwich, what will you eat?
Do you have any other dietary restrictions?
Vegetarian? Yes
No
Food Allergies: Please List type and severity:
5
“ Canoe Be a Leader? Leader? ” Health Record Please bring with you the day of the event. Please PRINT clearly and legibly. Child’s Name (Last, First, MI)
Birthday:
Address (Street, City, State, Zip)
Non-Girl Scout Girl Scout Troop #
Grade:
Parent/Guardian Information Parent 1/Guardian Name Phone #1
Phone #2
Phone #3
Phone #2
Phone #3
Parent 2/Guardian Name Phone #1
Emergency Contact (other than Parent/Guardian) Relationship to child
E-mail: Phone #2
Phone #1
Phone #3
Child’s Physician or Health Care Facility: Name Phone Number(s) Insurance Carrier: Carrier Policy #
Group #
If hospitalization is needed, take child to: Name of Hospital:
Health History Form Allergies: (check those that apply, specify nature and if treatment requires the use of an Epipen®, Benadryl, etc.) All nesses ergy Illn esses Alle gy r gy esses & Injuries
Animals Food
Insect Sting Medicine/Drugs Plants Pollen Hay Fever
Other
Asthma Bleeding/Clotting
Disorder Diabetes Ear Infections Heart disease/defect Hypertension Musculoskeletal disorders Seizures
ADD/ADHD Bed Wetting
Menstrual Cramps
Constipation Contact Lenses Emotional Challenges Fainting Glasses
Motion sickness Nosebleeds Sickle Cell disease Sleep Challenges Special diet
Other:
Hearing Impairment
Other Health Conditions (check those that apply) Please check one: Child may take Tylenol Yes No Is child taking any medication? Yes No If yes, attach a list of the child’s current medications to this form; send a list of any medication changes or updates as needed. Has child been hospitalized in the last five years? Yes No If you checked yes to any illnesses, injuries or other health conditions, please include an attachment with a description. Give nature, dates, period of any disability and results. Also, list any activities that should be restricted. I verify that the included information is truthful and includes everything that the staff of Canoe Be a Leader would need to know to properly care for the health of my child. Signature
Date
6
2115 Lexington Rd. PO Box 32335 Louisville, KY 40232-2335
Pathways
Non-Profit US Postage Paid Louisville, KY Permit No. 246
Which Pathway will you choose? Girl Scouts now offers several options on the ways you will carry out your own experience! “Canoe Be a Leader?” is a Series Pathway to Girl Scouting that allows for traveling, events and camping to occur in a group environment. Canoe Be a Leader is a great program option for Juliettes as well as troops, and girls who are not currently registered Girl Scouts can use “Canoe Be a Leader?” as their own Series Pathway. Girls who are involed in this program will quickly learn the benefits, as we provide adventure, fun and educational opportunities for girls to explore careers and leadership!