GIAD 2022 REGISTRATION

Registration for GIAD 2022 - Camp FEE $25.00

* Indicates required field

Student Name *

First

Last

STUDENT Email (optional) *

Age *

School *

Grade *

Girl Scout Troop# (if applicable) *

Parent Name *

First

Last

Parent Cell Phone *

Parent Email *

Select One *

Students will be photographed during the camp to be used for social media and printed materials.

WAI COVID-19 Liabiity/Assumption of Risk for in-person events *

By clicking here, I confirm that I have read and agree to the COVID-19 Liability/Assumption of Risk statement above.

Permission for Photography *

Opt In Opt Out

Submit

REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED.
REGISTRATION NAME MUST MATCH PARENT OR STUDENT'S NAME IN ORDER TO APPLY.