2025 JC Registration
Please fill out one registration PER Caddie.

Payment for camp and a copy of the Health History form must be filled out for each Caddie and be emailed or mailed by April 5th to the following.

Email:
rgsdaycamp@gmail.com

Mail:
Roseville Girl Scout Day Camp
C/O Heather Benedict
2225 Dellwood Avenue
Roseville, MN 55113

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Email *
JC's Last Name *
JC's First Name *
Middle Initial
JC's Camp Name (i.e. Button, Giggles, or Twix)
Street Address *
City *
State *
Zip Code *
JC's are traditionally last year's campers transitioning into Caddies. Is your scout entering 7th grade in the Fall of 2025? If not, please explain why you feel she should be a JC. *
Age (as of June 1, 2025) *
Birthday (MM/DD/YYYY) *
MM
/
DD
/
YYYY
Troop Number
T-shirt size *
JC's Email
JC's Phone *
Caddie Training: Please list the name, date, and location of all Caddie trainings attended *
Caddie Overnight: Will your JC stay overnight on Tuesday night? *
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