Pixie Camp Registration 2019 Highlander District
Childcare is available for parents or guardians volunteering at Day Camp, June 17-21, 2019 at St Elizabeth Ann Seton Catholic Church, 1000 Andrews Rd, Fayetteville, NC 28311. Children must be between the ages of 4 months and 11 years to attend Pixie Camp. Thank you for volunteering at Day Camp. Pixie Camp is only $5 a day or $25 for the week per family.
Email address *
NC Childcare Rules on Drop In Care
Drop-in/short-term child care is defined by law in G.S. 110-86(2)(d)(d1) as a child care arrangement where care is provided while parents participate in activities that are not employment related, and where the parents are on the premises or otherwise easily accessible. Drop-in/short-term child care arrangements are not required to be licensed or regulated by any state agency, including the Department of Health and Human Services (DHHS) or the Division of Child Development and Early Education (DCDEE). Pixie Camp is not required to be and is not licensed or regulated, as required by G.S. 110-86(2)(d)(d1) and G.S. 110-99(c).
Parent Name
Your answer
Pack Your Bags for a Passport to Adventure!
Unit *
Your answer
Scouting Program *
Volunteer Position at Day Camp *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
Child 1 First and Last Name *
Your answer
Child 1Age *
Your answer
Child 2 First and Last Name (enter NA if not applicable for child 2 and/or child 3) *
Your answer
Child 2 Age *
Your answer
Child 3 First and Last Name *
Your answer
Child 3 Age *
Your answer
Child(ren)'sT-shirt size -
child 1
child 2
child 3
Youth extra small
Youth Small
Youth Medium
Youth Large
Youth extra large
Days Childcare needed while parent volunteers at camp *
All Day 7:30-16:30
Morning only 7:30-12:00
Afternoon only 12:00-16:30
Child Care Not Needed
Monday June 17
Tuesday June 18
Wednesday June 19
Thursday June 20
Friday June 21
I plan to attend a day camp orientation meeting on *
If you have any questions, please contact the Pixie Camp Director Leanne Bulger at leanne.bulger@gmail.com 334-520-9910; or the Day camp Director Dawn Leone at daycamp@highlanderdistrict.org or 910-213-6726.
Your answer
Thank you for volunteering for 2019 Day Camp.
If you have any questions, please contact the camp director at daycamp@highlanderdistrict.org or 910-213-6726.
To finalize your volunteer registration process, fill out the forms below:
Please complete pixie camp release form
https://www.dropbox.com/s/xhz1gjutm1s491n/2017%20Pixie%20Camp%20releases.docx?dl=0
AND
Please bring a copy of the BSA Health and Medical form part A & B to camp (no doctor visit needed) for each child attending Pixie Camp.
If you need this form go to http://www.scouting.org/filestore/HealthSafety/pdf/680-001_AB.pdf
Please mail completed release form and BSA Health and Medical Form Part A & B to Michelle Sweeney 6116 Garden Court, Fayetteville, NC 28311.
A copy of your responses will be emailed to the address you provided.
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