MiCaSa Fallapalooza
When: October 11-13, 2019

Time: 4:00 pm on October 11th – 11:00 am on October 13th, 2019

Where: Girl Scouts of California Central Coast Arnaz Program Center
155 Sulphur Mountain Road; Ventura, CA 93001

Cost per Camper: $35 per Registered Scout
$25 per Saturday Day Campers/ $5 per Day Camper Adult
$15 per registered and background-checked adult (overnight)

Who may attend: D/B/J/C/S/A Troops only, No Individuals or Tagalongs
Registered Girl Scouts, Registered and Background-checked adults only

What is included: Three days and two nights of fun-filled Girl Scout fall camping, Camp Fun Patch, Friday Night Movie
& popcorn, Saturday evening S’mores and a lifetime of memories
Saturday’s Activities will include: Archery for Juniors and above
(additional $5 per girl for archery supplies), outdoor camping skills, music, skits, outdoor skills, outdoor arts, guided hikes, games and much more!
Saturday Evening Activites: All Camporee community camp fire, S’mores, skits and songs, Rededication ceremony
Sunday Morning Activities: Fallapalooza Closing Ceremony

**Troops will be asked to assist with an activity on Saturday. The list to choose from will be coming out later in an email. Troops will have the choice to choose from an activity that the committee has thought of or troops can create their own fall themed activity**

Submit: 1) This online registration form
2) Trip Application
3) MY GS Roster
4) High Risk & Archery Waiver (optional)
5) Payment
Checks Payable To: MiCaSa Service Unit
Mail To: P.O. Box 2508, Camarillo, CA 93011
Drop Off: 2244 Derby St. Camarillo, CA 93010

**All forms and payments are due by September 27**
Troop # *
Your answer
Troop Contact *
Your answer
Troop Contact email *
Your answer
Troop Contact Phone Number *
Your answer
# of Campers ($35 per camper) *
Your answer
# of Adult Campers ($15 per adult) *
Your answer
# of Day Campers ($25 per day camper) *
Your answer
# of Adult Day Campers ($5 per adult) *
Your answer
# of girls participating in archery ($5 per J/C/S/A) *
Your answer
Age Level
Age Level of Scouts (check all that apply)
I understand that I must pay registration fees and turn in all forms by 9/27. There are no refunds after that date. I also understand that all girls must be registered, adults must be registered and background checked, and at least one adult must be CPR/First aid certified and outdoor trained in spending the night. *
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