Camp Greenhill Rental Agreement

Camp Greenhill Rental Agreement
Leader/Coordinator Information
Troop Leader/Coordinator's Name*

First NameLast Name
Troop # / Service Unit*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Troop Leader/Coordinator's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rental Information
Start Date*

MonthDayYear
Date
Start Time*

Hour Minutes

AM/PM Option
End Date*

MonthDayYear
Date
End Time*

Hour Minutes

AM/PM Option
Certified CPR/First Aider*

First NameLast Name
First Aid/CPR Certification*

First Aid/CPR requirements can be found in the Safety Activity Checkpoints.
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Troop Camp Certified Volunteer*

First NameLast Name
Date of Training*

MonthDayYear
Date
Adult Lifeguard (If Applicable)

First NameLast Name
Adult Lifeguard Certification (If Applicable)

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Available Facilities (check all that apply)*

LodgeInfirmary/OfficeTennis CourtsKitchenFlag PoleWaterfront (Lifeguard certification required & must provide your own life jackets)Archery Range (Archery certification required)Flying High (Camp Area, bathrooms, activity hut, flying high fire rings)
Planned Activities *
Participant Breakdown

Participant Breakdown*

	Total # of Participants
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Registered Adult Volunteers

Name(s) of Girl Scouts that will be attending (First & Last Name)*
If uploading roster instead, type N/A
Name(s) of adults that will be attending (First & Last Name)*
If uploading roster instead, type N/A
Optional: Upload roster of Girls & Adults Attending

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Camp Greenhill Rules and Regulations
The rules and regulations of the Girl Scouts of Greater South Texas camp, along with the Girl Scouts of the USA's Safety Activity Checkpoints applicable to the camp and the event, including but not limited to fire safety regulations, are hereby incorporated into this Agreement by reference.

Both the Girl Scouts of Greater South Texas and the Girl Scouts of the USA reserve the right to amend these rules and regulations in writing from time to time. Users will be provided with written notice of any such amendments.

By using the camp facilities, users agree to be bound by all amended rules and regulations.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Leader/Coordinator Information