Adult Camp Registration

Adult Camp Registration

Girl Scouts of Greater Atlanta adult camp registration form. Please complete all required fields and sign the required acknowledgements.
Adult Information
First and Last Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Troop #
Email
example@example.com
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Street Address
City
State
Zip code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Volunteer info
🌲 Six-Day Volunteer (Sunday Setup + Full Week)
Recommended for volunteers available for the entire camp week.
Serve throughout the full week by leading or assisting at activity stations, serving as a floater, supporting campers and staff, and helping ensure camp runs smoothly. Must also attend mandatory camp set up day on the Sunday, June 6th. The discout for you kid is 100%

🌲 Four-Day Volunteer (Sunday Setup, Monday, Tuesday & Thursday)
Great for volunteers with limited availability.
Volunteer on Monday, Tuesday, and Thursday, assisting with camp activities, supporting station leaders, supervising campers, and helping wherever needed during the day. Must also attend mandatory camp set up day on the Sunday, June 6th. The discount for your kid is 50%
Volunteer option
Where would you like to be placed (note: placements aren't guaranteed)
Release for Adults
RELEASE FOR ADULTS: For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby consent and agree to the following: I acknowledge that I am eighteen (18) years of age or older. I hereby grant to Girl Scouts of Greater Atlanta and others working for Girl Scouts of Greater Atlanta or on its behalf, and each of its respective licensees, successors and assigns (each a "releasee"), a one-time use of the photo in association with the article. One time use would be royalty free with unlimited right to distribute and publish and exhibit the photo together with the article. Use of the photo for any other use is not authorized. 2. I shall have no right of approval, no claim to compensation and no claim (including, without limitation, claims based upon invasion of privacy, defamation or right of publicity) arising out of any use, alteration, blurring, illusionary effect or use in any composite form of my name, picture, likeness and voice. I agree that nothing in this release will create any obligation on Girl Scouts of Greater Atlanta to make any use of the Media or the rights granted in this release. I hereby release and hold harmless releases from any claim for injury, compensation or negligence resulting or arising from any activities authorized by this release and any use of the media by Girl Scouts of Greater Atlanta.
Do you accept these terms and conditions
Electronic Signature
Code of Conduct
I agree that I or my child will behave by the Girl Scout Law, be respectful to other campers, leave all alcohol, tobacco, drugs at home. Campers agree to leave electronics put away during camp time.
Do you accept these terms and conditions
Electronic Signature
Camp Communication
Primary Email for Camp Communication
example@example.com
T-Shirt Size
Health Information
Volunteer Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Volunteer Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Affiliated Troop/Group #
Emergency Contact 1 First Name
Emergency Contact 1 Last Name
Relationship to Volunteer
Emergency Contact 1 Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Physician First Name
Physician Last Name
Physician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is the Volunteer covered by Family medical/hospital insurance?
Medical Conditions — Check all that apply

Other
If other, specify which conditions
Immunization Records are up to date
Environmental Allergies — Check all that apply

Other
If other, specify which allergies
Food Allergies — Check all that we should be aware of

Other
If other, specify which allergies
Signature of Parent 1/Caregiver
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Adult Camp Registration

Adult Information

Volunteer info

Release for Adults

Code of Conduct

Camp Communication

Health Information