Service Unit Encampment Application Form Page 2
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1
2Important Dates
Service Unit Encampment Application Form
Application Deadline: December 1, 2017
This form is to be used when applying for a Service Unit
Notifications Sent: December 8, 2017
Encampment on a Council site. This form is due by the deadline
$150 Deposit Due: January 5, 2018 (Spring)/
stated.
May 4, 2018 (Summer White Rock)
Final Payment Due: March 18, 2018 (Spring)/
FORM SUBMISSION
June 1, 2018 (Summer White Rock)
Mail:
Girl Scout Council of the Nation’s Capital
Please note: Cancelation after deposit due date will
Attn: Service Unit Encampments
result in loss of deposit and will be marked in service unit
4301 Connecticut Avenue, NW
Washington, DC 20008
history.
E-mail:
Fax: (202) 274-2161
Association:
Service Unit:
Application Season:
Application Year:
.
Service Unit Manager:
E-mail:
Phone 1:
Phone 2:
Address:
City:
State:
Zip Code: _________
Encampment Coordinator:
E-mail:
Phone 1:
Phone 2:
Address:
City:
State:
Zip Code: _________
Date of Service Unit Manager Encampment Coordinator Training:
□
□
□
□
High Adventure Activity Interest:
Archery /
Canoe/Kayak /
Challenge Course /
Pool (summer WR only)
Approximate Number of Participants: Overnight:
Day Only:
Total Troops:
Service Unit’s Last Encampment On a GSCNC Site*: Date:
Location:
*Including summer White Rock encampments. This information must be included in order for this application to be
processed*
List Camps and Dates Requested In Order of Preference:
CAMP
DATE
1)
2)
3)
4)
5)
Signature of Service Unit Manager:
Applications with incomplete information or showing only one choice will cause a delay in processing requests. If you have
only one choice for a camp or date, please note this on the application. Applications must give a projected number of
participants; please try to be as accurate as possible.
This form is available online at
Last Updated: September 2017
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