2026 Volunteer Registration Form

2026 Volunteer Registration Form

This form is meant for Prairie Flower Volunteers who are not attending specifically with a troop.
Volunteer Name*
First and Last Name
Troop
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you Volunteered with Prairie Flower in before?*

YesNo
Will you Stay the Night?*

Thursday NightFriday NightSaturday NightSaturday Day Only
I plan to eat the following Meals*

Thursday DinnerFriday BreakfastFriday LunchFriday DinnerSaturday BreakfastSaturday LunchSaturday DinnerSunday Breakfast
We are offering an option to troops to 'HOST A VOLUNTEER' for Saturday Lunch or Saturday dinner. This is meant as an opportunity for you as a volunteer to connect and share Girl Scout stories with a troop. Check below if you are interested in this option.
I am interested in eating with a Troop

Saturday LunchSaturday Dinner
Please share any dietary requirements you have
I have the following special skills/Certifications

Small Craft CertificationLife Guard CertificationArchery CertificationLow RopesCommercial Kitchen TrainingAdvanced First Aid/CPR/Medical SkillsOther
I am interested in helping with:*

KitchenProgram - CraftsProgram - FoodsProgram - SkillsProgram - Fun/STEM/Team BuildingProgram - Wherever you need meFirst AiderAnywhere - No PreferenceOther
Comments
Share any information you think would be good for us to know, medical information, allergies, special needs,
Emergency Contact*
First and Last Name
EC Phone
Please enter a valid phone number.

Adult Agreement*

	I Agree
I understand that as a Volunteer, I play an essential role in the success at Prairie Flower and that my attitudes, behavior and responsibilities as a role model are critical to the success and well-being of the girls.
I, therefore, agree to do the following:
• Treat every girl and adult with respect.
• Be sensitive to the needs of each girl participant.
• Respect the places and people with whom I come in contact in my role as an Adult Volunteer.
• Read, understand and follow the Prairie Flower safety policies and procedures posted on the Prairie Flower website. https://prairieflowercamp.wixsite.com/prairieflowercamp/health-safety
• Understand that misuse of drugs and alcohol will not be tolerated, and the use of any during Girl Scout activities will result in the expulsion from the event.
• Smoking is not allowed on the property. If I need to smoke, I will only smoke off the camp property (beyond the entrance to camp) and will not smoke around girls.
• I understand that if I am dismissed due to a serious misconduct, it will be immediate. I will have the option of filing a grievence complaint with the Council.
I have read, understand and agree to follow the rules and procedures of Prairie Flower.

I am attending Prairie Flower Encampment at Camp Lakamaga on May 15, 16, 17 2026. In my opinion, I am physically and emotionally able to participate in Prairie Flower Encampment, subject to restrictions noted in the comment field above in this form. In the event of an emergency and I cannot be consulted, I hereby give permission to the physician via the event director to secure proper treatment for my myself.*

I Agree
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
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