Girls Outside November 15, 2015 Hiker Wait List (Grades 1 - 3)
Please fill out the form below to register for the Girls Outside Ijams Nature Center hike, which will take place from 2 - 4 p.m., Sunday, November 15, 2015. This hike is open to girls in grades 1-3, and is limited to a maximum of 12, with at least four adult Girls Outside guides.

Girls Outside is committed to helping young girls get outside — to learn about their environment and engage responsibly in activities that encourage independence, so we encourage parents to let their girls do the hike on their own as a part of the group, without parents.

The registration deadline is Wednesday, November 11,2015. It is mandatory that all girls must bring completed health history record forms to participate, or must have one on file already with us.

The Health History Record form is available here:
http://www.girlscoutcsa.org/content/uploads/ksc_healthandhistoryrecord.pdf

If you have any difficulties filling out or submitting this form, please contact Miriam Davis at knoxgirlsoutside@gmail.com or (865) 310 - 3157. For more information, visit http://girlsoutside.org
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Parent/Guardian Information
How did you hear about this Girls Outside activity? *
A flyer? Facebook? Email? The web? One of our partners? Let us know who to thank!
Parent/Guardian First Name: *
Parent/Guardian Last Name: *
Relationship: *
Home Phone: *
Mobile Phone: *
Email Address: *
Street Address: *
City: *
State: *
Zip code: *
Emergency Contact Info (someone other than listed above): *
First and last name and phone numbers
Participant Info
Participant's first name: *
Participant's last name: *
Birthdate: *
(format = mm/dd/yy)
School: *
Grade level: *
Has your girl hiked with Girls Outside before? *
Is your girl a member of Girl Scouts? *
If yes, she should have already completed a Health History Form and so you can forward a copy of it to us at knoxgirlsoutside@gmail.com
If your girl is already a Girl Scout, what Troop is she in?
Comments:
Please use this space to let us know anything else that you think would be helpful information about your girl such as allergies or disabilities.
USE OF IMAGES: The undersigned authorizes Girls Outside to use images of the participant, both with and without identification, for Girls Outside publicity, promotional and advertising purposes.
Health History Form
In order to participate in this hike, a completed Health History Form must be on file with Girls Outside or brought the day of the hike. *
This form is available to download from a link on the www.girlsoutside.org site. If you have questions, please email us.
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