Pixie Camp Registration 2018 Highlander District
Infants age 4 month and older to 11 years old children childcare while a parent or guardian is volunteering at Day Camp June 18-22, 2018 at St Elizabeth Ann Seton Catholic Church, 1000 Andrews Rd, Fayetteville, NC 28311. Thank you for volunteering at Day Camp. Pixie Camp is only $5 a day or $25 for the week per family.
Email address *
Where are we? In Bugville!!
Parent Name
Your answer
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 18
Tuesday June 19
Wednesday June 20
Thursday June 21
Friday June 22
I plan to attend a day camp orientation meeting on *
If you have any questions, please contact the Pixie Camp Director Caron Harder (732) 670-4659; or the Day camp Director Dawn Leone at daycamp@highlanderdistrict.org or 910-213-6726.
Your answer
Thank you for volunteering for 2018 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
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 Jenny Lamprides 2 Totten Street, Fort Bragg, NC 28307
A copy of your responses will be emailed to the address you provided.
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