2018 Leader/Daughter/Cookie Manager Registration Form for Participants
Welcome to the Leader/Daughter/Cookie Manager Overnight (LDCMO) Online Registration

When filling out the form, please keep in mind the following:

- Fields with an asterisk (*) are required.

- You will not be able to make changes online once you hit the Submit button. Therefore, please check to make sure all your information is correct BEFORE you click the Submit button.

- After you submit the form, a message will appear. If the screen appears blank, please scroll up to see the message.

If you have registration/payment questions or problems, or questions about the training requirement (see question below) please send an email to: WayzataSUM@gmail.com.

If you have questions about the encampment itself, please send an e-mail to: mnpeterson@comcast.net

(Note: The first Email address requested is the address your receipt will automatically be generated to.)

Thank you!
Email address *
Adult First Name *
Your answer
Adult Last Name *
Your answer
Troop Number *
Your answer
Current Troop Position held (Check all that apply.) *
Required
Number of school years you (adult participant) have been a Registered GS Volunteer Member, including this year. (For example: if you were Cookie Manager last year and this year, it's 2 years; if you were Troop Leader/Co-Leader/Assistant leader for your daughters 1st, 2nd, 3rd, and this year's 4th grade - then it's 4 years; if you helped with the Troop last year, but were not Registered, and you are the Cookie Manager this year, then it's 1 year.) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone # *
Your answer
Email address (To be used for all future communications.) *
Your answer
Daughter #1 First Name *
Your answer
Daughter #1 Last Name *
Your answer
Daughter #1 Troop # *
Your answer
Daughter#1 Grade *
Daughter # 1 Program Level *
Daisy, Brownie, Junior, etc
Daughter #2 First Name
Your answer
Daughter #2 Last Name
Your answer
Daughter #2 Troop Number
Your answer
Daughter #2 Grade
Daughter # 2 Program Level
Daisy, Brownie, Junior, etc
Daughter #3 First Name
Your answer
Daughter #3 Last Name
Your answer
Daughter #3 Troop #
Your answer
Daughter #3 Grade
Daughter # 3 Program Level
Daisy, Brownie, Junior, etc
Total # of Participants *
Your answer
Adult Enrichment. Please check your first choice. (This session will take place during the period when the girls are earning their badges.) *
Adult Enrichment. Please check your second choice. (This session will take place during the period when the girls are earning their badges.) *
Are you able to be one of our 1st Aiders? (Yes/No) *
Required Training Completed *
Check one of the required trainings that you have completed.
Sleep Time Preference *
Cabins will have an assigned quite time of 9:30 pm and lights out at 10:00 pm or quite time at 10:30 pm and lights out at 11:00 pm. Please state your preference below; we will do the best we can to accommodate your needs.
Adult Sleeping Companion #1 (Name)
If you have a request - Indicate the names of up to three ADULTS to be assigned to the same sleeping room (on-line registrations MUST agree). Leaving this blank indicates that you don't have any companion preferences. Note: A leader/Cookie Manager and her daughter(s) must sleep in the same cabin.
Your answer
Adult Sleeping Companion #2 (Name)
Your answer
Adult Sleeping Companion #3 (Name)
Your answer
Dietary Restrictions and Allergies *
Please specify ALL restrictions/allergies for the participant(s). Provide a description in the comments section below of what reaction will occur if exposed to allergen, as well as any other information you'd like. If no restrictions or allergies, please check "No dietary restrictions/allergies"
Required
Allergy information (Check all that apply; note that one is "required" for allergies.) *
Required
Comments for Dietary Restrictions/Allergy (optional)
Your answer
Emergency Contact (Name, relationship, & telephone number) *
Your answer
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