• Service Unit Camporee Participant & Activity Form

    Service Unit Camporee Participant & Activity Form

  • This form is designed for completion by the official Service Unit Camporee Chairperson to capture all girl, certified volunteer, and adult chaperone participants for one specific Camporee, as well as key planned activities. The Service Unit Camporee Chairperson should be in consistent contact with the Service Unit Manager while finalizing Camporee event plans. The form is requested and preferred 21 days prior to the first date of the Camporee event and is REQUIRED 14 days prior to the first date of the Camporee event. Failure to submit a completed form by the 14-day deadline, which allows staff time to follow all internal safety and risk management procedures, may result in the cancellation of the event without refund to the Service Unit. 

    Questions about the information required in this form, or the timeline, should be emailed to Kate Goosey: kgoosey@gssef.org.

  • Contact Information

  • GSSEF Camp Reserved for Camporee*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Camporee Details

  • Tell us the style for this Camporee event:*
  • Rows
  • Rows
  • Camporee Start Date*
     / /
  • Camporee End Date*
     / /
  • Will Camporee include Day-Only participants on Saturday?*
  • Activities Requiring Trained & Certified Adults

    The Service Unit is responsible for ensuring the appropriate number of trained and/or certified adults for each planned activity. GSSEF staff does not provide or coordinate these adults.
  • Here's what you need to know about securing certified/trained adults:

    Adults providing oversight, instruction, and safety for Girl Scouts who REQUIRE certifications include Lifeguard, First Aid/CPR (aka "first aider"), ServSafe Food Manager, and Archery instruction.

    Verified Girl Scout training is REQUIRED for adults providing oversight, instruction, and safety for slingshots, hatchet throwing, canoeing, and water watching.

    • Archery - 1 certified adult is required for 10 active archers.
      • Note: the certified adult designated for archery may not also be the designated adult for slingshots when both activities occur simultaneously.
    • Slingshots - 1 trained adult is required for 10 active participants.
      • Note: the certified adult designated for slingshots may not also be the designated adult for archery when both activities occur simultaneously.
    • Hatchet Throwing - 1 trained adult is required for this activity.
      • Note: a 1:2 adult-to-girl ratio is required for safety during this activity.
    • Canoeing – 1 certified adult is required for this activity.
      • Note: 1 adult is required to be in the same canoe with Daisy Girl Scouts. We recommend 2-3 knowledgeable adults assist the trained adult.
    • Lifeguard: 1 certified adult lifeguard is required per 25 swimmers.
    • Water Watcher: In addition to lifeguard(s), 1 trained adult water watcher is required for every 10 swimmers.
    • ServSafe Food Manager - 1 certified adult is required for any use of the commercial kitchen. The certified adult is responsible for maintaining the standards of kitchen assistants.
      • Note: the word "use" includes access to refrigerators, freezers, and sinks. We recommend at least 1 assistant for every 50 participants.
  • Will this Camporee event offer archery?*
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  • Will this Camporee event offer sling shots?*
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  • Will this Camporee event offer hatchet throwing (Nocatee Only)?*
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  • Will this Camporee event offer canoeing?*
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  • Will this Camporee event offer swimming (Welaka Only)?*
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  • Will this Camporee event offer cooking or serving from the property's commercial kitchen?*
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  • Third-party On-property Program Provider

    The Service Unit is responsible for coordinating, managing, and paying for third-party providers; GSSEF staff does not provide or coordinate these adults. The Service Unit is responsible for submitting the provider's Certificate of Insurance (COI) in this form below.
  • Will this Camporee event have a third-party program provider?*
  • Activity date:*
     / /
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  • Camporee Participants & Site Assignments

  • Select the camp site, add the *full names for the certified Troop Camp Trained (TCT) adult, certified First Aid/CPR adult, as well as all girls and additional adults assigned to the site.

    NOTE: Adults are required to know and maintain the ratios during the Camporee event, in all locations.

    Find ratios in GSUSA Safety Activity Checkpoints or GSSEF Volunteer Policies & Procedures.

    *Camp names will not be accepted.

  • (A) Are you ready to complete the participant roster for the first camp site?*
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  • (B) Would you like to add another camp site to this Camporee?*
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  • (C) Would you like to add another camp site to this Camporee?*
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  • (D) Would you like to add another camp site to this Camporee?*
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  • (E) Would you like to add another camp site to this Camporee?*
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  • (F) Would you like to add another camp site to this Camporee?*
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  • (G) Would you like to add another camp site to this Camporee?*
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  • SAFETY ACKNOWLEDGEMENTS

  • By acknowledging "yes", I am agreeing that I represent the Service Unit for this Camporee event, I understand and will follow all national and council safety policies and procedures, I know that I am responsible for sharing them with all applicable adults and volunteers participating in this event, and acknowledge that I am responsible for the following, on behalf of this Service Unit.*
  • All Camporee event participants, including members and non-members, are identified by full name on this form.*
  • All volunteers and adults (who provide required coverage for the Girl/Adult ratio) are currently registered members of GSSEF and have a currently approved Criminal Background Check (CBC).*
  • All policies and guidelines in GSSEF Camporee Manual, GSSEF Volunteer Policies & Procedures Manual, and GSUSA Safety Activity Checkpoints have been reviewed and been shared with volunteers and adults participating in this event.*
  • All applicable activities have been verified in GSUSA Safety Activity Checkpoints and volunteers or third-party vendors possess the correct and current certifications required for each activity.*
  • All girl participants will have a current Parental Permission form (specifically for this Camporee event) and a Health History form with the responsible adult volunteer.*
  • All volunteers and adults (who provide coverage for the Girl/Adult ratio) have been educated on their roles and responsibilities for the constant and consistent adherence to ensuring the adult/girl ratios at all times.*
  • All designated First Aid/CPR certified adults have been provided a camp map, fully stocked first aid kit, address and directions to the nearest hospital, and a roster for all camp site participants.*
  • All designated Troop Camp Trained (TCT) and First Aid/CPR certified adults have been educated about and agree to access/use one automobile that will be parked at the site at all times and will be used/driven in case of emergency. This education includes (a) keeping the ONE automobile key/fob in an agreed upon identifiable and accessible spot and (b) this ONE automobile with have ample fuel.*
  • All event participants are educated about the emergency procedures for this event, and girls understand/use the Buddy System at all times.*
  • By signing and submitting this form, I confirm that I represent the Service Unit, I understand and agree to the "Safety Acknowledgment" section, and the information provided in this form is correct to the best of my understanding.

  • Format: (000) 000-0000.
  • Today's Date*
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  • Should be Empty: