Parent/Guardian Special Permission Statements - 2012
Gilbert Run & Gilbert Run Teen, & special Teen Trip

Check all that apply for your camper.  If Not checked and initialed, we assume no permission and camper will Not participate in activity.  Person will sit on the side watching if short activity, stay at camp on field trip day and be assigned to another unit, or parent will be called to pick up child.  Mail vendor waivers (for kayakiing activities) to winona @ campsomd dot org.

*Camper's First Name:

 must match original registration

*Camper's Last Name:

 must match original registration

Email

*Camp::
*Transportation:  All buses need a parent to ride bus to/from camp.
All stops must have a bus stop monitor; all buses must have a chaperone. If either is not met, stop or bus could be cancelled.
 Bus is recommended over carpooling
If carpooling or plan to have someone pick up your child from camp, give name/s here:
Only those listed will be authorized to pick up your child.  Give name, not just parent or sister, etc
 

Are you interested in helping out at camp?  Camp is volunteer run, with discounts for your campers.
 
Note: We cannot have a bus route or bus stop without a bus stop monitor or bus chaperone.  Thank you for helping to keep our girls safe.
 I would like to serve as a Bus Stop Monitor at stop (take attendance and insure girls' safety at bus stop)
AM Bus Stop Monitor        Both AM/PM Bus Stop Monitor (Preferred)
PM Bus Stop Monitor
Bus Chaperone - I would like to serve as a Bus Chaperone.  Person rides bus starting at begining stop. Good opportunity to help without driving daily.
If you are VOLUNTEERING for camp, what is your T-shirt size?   
 
 Teen Aide-In-Training or Teen Aide/Staff position, please complete (others skip this section):
Note:  Not all positions are at each camp
     Assignment Preference 1st Choice:  
     Assignment Preference 2nd Choice: 
     Assignment Preference 3rd Choice:  
 
Teen Monday after camp special activity, Summer day camp only.  Select one:
       join teens from Bay Breeze Day Camp movie  bowling  swimming
I have completed the following Training: 
     I have the Cadette PA Pin     I have the Senior PA Pin     I completed day camp Aide-In-Training (AIT)
     I have been to a GS day camp before, either as a camper or a teen aide
     I have no GS experience and would like to do this for high school service hours
Some activities are considered high risk by GSUSA Safety-Wise standards and all require parent initials to complete permission statements. 
Parent/Guardian, Check and initial all activities as applies for your camper.  Some activities may not be available at your camp.  This form covers all activities for all camps.
 
 Water related activities- IF AVAILABLE

  Swimming ability (required for aquatic activities):  
 none    Level 1    Level 2    Level 3   Level 4   Level 5   Level 6   

Paddle Boating - (grades K-12) If available.  I give permission for person herein described to participate in paddle boating at Gilbert Run Park. Personal Floatation Device (PFD) will be worn at all times. An adult or teen aide will be in the boat with younger girls. 
Parent Initials (high risk)

Swimming - (grades 4-12) if available I give permission for person herein described to participate, traveling via school bus to pool.  Lifeguards may give water test for pool use at site and may or not be Girl Scouts. Girls go to Calvert Co. Prince Frederick indoor pool
Parent Initials (high risk) 

Archery (grades 4-12)- I give permission for person herein described to participate in archery at camp, if available. 
Parent Initials (high risk)
Check above as applies plus:

Ice Skating - (grades 6-12), Teens only, If available.  I give permission for person herein described to participate in ice skating at the Capital Clubhouse in Waldorf.  Teens will travel via school bus on evening of June 25 and join day camp Bay Breeze girls.
Parent Initials

Rock Climbing- (grades 6-12), Teens only, If available.  I give permission for person herein described to participate in the rock climbing wall at the Capital Clubhouse in Waldorf.  We will travel via school bus on evening of June 25. The time for this event will be after the ice skating is over.  If girls want to try this, bring $5 payable to Capital Clubhouse, and the signed waiver (link found on our camp website registration page).
Parent Initials
Other activities, mostly teens - Check above as applies plus:

Bowling - (grades 6-12 only) Teen Adventure units only, If available. I give permission for person herein described to travel to AMF Bowling Alley in Waldorf via car or school bus to bowl. 
Parent Initials

Late Afternoon, evening activity - Ice Skating [see above permission statements] (grades 6-12 only) - I give permission for person herein described to stay after camp on Monday evening and participate in special teen activities. School bus or carpool will be used to transport campers to activity.  Carpool pickup at end of event at the Capital Clubhouse. Time 7:00-7:30pm.   
Parent Initials

Ropes Course - (grades 6-12 only) Teen Adventure units only, If available. I give permission for person herein described to travel to Terrapin Adventures, a vendor high ropes course via school bus. This is a special all day Wednesday activity with extra fee charged at time of registration, if girls elect to do this.  A vendor high adventure waiver is required.  The link is found on our camp website registration page or here: waiver
Parent Initials
Other Comments:

Signature of Parent/Guardian giving permissions checked above: //name//