GGC – QUEBEC FALL DAYCAMP OCT 3, 2015
PATROL REGISTRATION FORM
Dear Guiders,
We are so pleased you and your patrol will be joining us for this year’s Fall Fun Day. It will be a great day of camping activities, nature and friendship at Wa-Thik-Ane in Morin Heights.
To register, complete the Patrol Registration Formsand email the completed copy to: fax it to the provincial office at 514-933-7591.
Please read this letter carefully before completing forms, to ensure they are completed properly.
- Before you start read the whole form through.
- The grey fields indicate a fillable area. The form will calculate the amount your patrol must pay.
- Please ensure you use the proper patrol registration for your branch. The orange form is Sparks/Brownies and the blue form is Guides/Pathfinder/Rangers.
- It is important that all names and iMIS numbers are printed clearly or typed.
- Be aware that the bus cost is only waived for a Guider with a full patrol. (As per ratio for the specific branch) Guiders having to pay can ask their district or unit to defray the cost.
- We have a 400 participant cap for this event, submit your forms as soon as you can.
- The registrations will be date stamped and entered by date submitted.
- If payment is incorrect you will be notified and your registration will be on hold.
- There will be NO payments collected at the event- all forms and payment must be in by the deadline of Monday, September 26th at 9 a.m.
- Make sure Guiders and volunteers have a PRC.
- Please remember you will need one adult volunteer on the bus who is first aid certified in IMIS.
Please note that no refund will be given after the registration deadline of Monday, September 26th without a doctor’s medical note.
Please note, the event is first come, first served – we have a 400 person cap on registration. Watch your inbox for more details. An eblast will be sent to all Guiders by the end of August and will include the SG 1 and SG 2 forms.
If you have questions about the forms or the day, please contact or call the provincial office at 514-933-5839 or 1-800-565-8111.
See you at camp!
Joanne Cardinal
Provincial Camping Adviser
GENERAL INFORMATIONGROUP NAME: / BUS STOP CODE :
BRANCH : / Please choose Branch: SparkBrownieGuidePathfinderRangersMixed
CONTACT GUIDER: / Name and contact information for the GUIDER who will distribute information and make payment for this patrol - Please note that ALL communication WILL be done by email.
EMAIL :
TELEPHONE:
Expectations: It is expected that this person will manage the administration of the patrol including :
- Distributing and collecting SG.1, SG.2 forms & fees, submitting payment and selecting bus information
- Ensuring all patrol leaders are Safe Guide compliant (Member, PMBR or NM with Police Check plus)
- Ensuring patrol leaders have read and understand any concerns on current Health forms (H1, H2, H3)
- Distributing and ensuring patrol leaders understand information regarding event participation, schedules, emergency procedures, bussing etc… Patrol guiders are expected to participate and assist at the event.
- Distributing and ensuring parents understand bus and kit list information
FINANCIAL INFORMATION (FROM PATROL REGISTRATION on attached pages)
BRANCH / NUMBER / COST PER GIRL / SUBTOTAL / BRANCH / NUMBER / COST PER GIRL / SUBTOTAL
SPARKS / X $45 / 0.00 / GUIDES / X $45 / 0.00
BROWNIES / X $45 / 0.00 / PATH / RANGERS / X $45 / 0.00
Spark/Brownie ADULTS / x $45 / 0.00 / Guide/Path/Ranger
ADULTS / X $45 / 0.00
SUBTOTAL / 0.00 / SUBTOTAL / 0.00
For EVERY 5 Sparks/Brownies a $15 discount may be applied (ONLY FULL groups of 5) to cover adult transportation costs. ALL others must cover the full fee (usually supported by unit or district funds) / 0.00 / For EVERY 7Guides/Pathfinders/Rangersa $15 discount may be applied (ONLY FULL groups of 7) to cover adult transportation costs. ALL others must cover the full fee (usually supported by unit or district funds) / 0.00
SUBTOTAL A / 0.00 / SUBTOTAL B / 0.00
TOTAL A + B / 0.00 / payment by CHEQUE CREDIT CARD
PAYMENT BY CREDIT CARD / Name on Credit Card
Visa Mastercard / Credit Card Number / Expiry Date / /
Cardholder Signature: / Date: /
Proposed BUS STOP
code Z / Community:
Pick-up Location :
GROUP: / CONTACT GUIDER: / BUS STOP :
SPARK / BROWNIE PATROLS
- Please note that ALL participants MUST have an IMIS number to attend.
- Please NOTE that the menu will be PEANUT/NUT/SEAFOOD FREE
- VEGETARIAN options will be available for those who have INDICATED it on their registration form.
- Other specialized dietary needs which cannot be accommodated be contacted to make the necessary arrangements.
- OTHER RELEVANT INFORMATION includes medical, physical or other limitations or concerns which may impact on program participation or require special transportation needs on sit.
- PLEASE NOTE Patrol groups MAY be separated for activities during the day – please plan groups accordingly
PATROL 1 - INFORMATION ($45 per person - $15 if 5 girls in the patrol)
UNIT - if different from page 1
Spark or Brownie / FIRST NAME / FAMILY NAME / IMIS # / Food Restrictions
and/or Allergies / OTHER RELEVANT INFORMATION
ADULT
PATROL 2 - INFORMATION - ($45 per person - $15 if 5 girls in the patrol)
UNIT - if different from page 1
Spark or Brownie / FIRST NAME / FAMILY NAME / IMIS # / Food Restrictions
and/or Allergies / OTHER RELEVANT INFORMATION
ADULT
PATROL 3 - INFORMATION - ($45 per person - $15 if 5 girls in the patrol)
UNIT - if different from page 1
Spark or Brownie / FIRST NAME / FAMILY NAME / IMIS # / Food Restrictions
and/or Allergies / OTHER RELEVANT INFORMATION
ADULT
ADDITIONAL ADULTS ATTENDING (full fee - $45) Organizing Committee Volunteers use COMMITTEE FORM
FIRST NAME / FAMILY NAME / IMIS # / Food Restrictions
and/or Allergies / OTHER RELEVANT INFORMATION
ADULT
ADULT
GROUP: / CONTACT GUIDER: / BUS STOP :
GUIDE/PATHFINDER/RANGER PATROLS
- Please note that ALL participants MUST have an IMIS number to attend.
- Please NOTE that the menu will be PEANUT/NUT/SEAFOOD FREE
- VEGETARIAN options will be available for those who have INDICATED it on their registration form.
- Other specialized dietary needs which cannot be accommodated be contacted to make the necessary arrangements.
- OTHER RELEVANT INFORMATION includes medical, physical or other limitations or concerns which may impact on program participation or require special transportation needs on sit.
- PLEASE NOTE Patrol groups MAY be separated for activities during the day – please plan groups accordingly
PATROL 1 - INFORMATION ($45 per person - $15 if 7 girls in the patrol)
UNIT - if different from page 1
Guide/ Path/Ran / FIRST NAME / FAMILY NAME / IMIS # / Food Restrictions
and/or Allergies / OTHER RELEVANT INFORMATION
ADULT
PATROL 2 - INFORMATION - ($45 per person - $15 if 7 girls in the patrol)
UNIT - if different from page 1
Guide/ Path/Ran / FIRST NAME / FAMILY NAME / IMIS # / Food Restrictions
and/or Allergies / OTHER RELEVANT INFORMATION
ADULT
INDEPENDENT PATHFINDERS OR RANGERS - ($45 per person)
UNIT - if different from page 1
Please note which Guider will be supervising them on the bus?
Pathfinder
/ Ranger / FIRST NAME / FAMILY NAME / IMIS # / Food Restrictions
and/or Allergies / OTHER RELEVANT INFORMATION
ADDITIONAL ADULTS ATTENDING (full fee - $45) Organizing Committee Volunteers use COMMITTEE FORM
FIRST NAME / FAMILY NAME / IMIS # / Food Restrictions
and/or Allergies / OTHER RELEVANT INFORMATION
ADULT
ADULT
BUS/TRANSPORTATION
Group travel by GGC organised bussing
- Please select one stop on the list
- Note that stops are NOT guaranteed at this point but we will do our best.
- Please suggest a stop if you have a group of 10 or more.
- FINAL bus stop locations will be confirmed TUESDAY, September27th before Day Camp
- MOST departures will be between 7:30-8:00 am and return around 9 pm.
- Forms for parent distribution including SPECIFIC times will be forwarded Sept. 28th.
- Please do NOT assume that STOPS within a district will be on the same bus.
Girl Guides Canada - Quebec Council Fall Fun Day 2016
Possible Bus Stops
CODE / CITY / LOCATION
WESTERN MONTREAL
T / St. Lazare / Global Pet Store
A / Pincourt / Omni Centre
B / Baie D'Urfe / Shopping Centre
C / Kirkland / The Brick (Hwy 40)
D / Pierrefonds / Pierrefonds City Hall
E / Pointe Claire / Clearpoint Elementary
F / Pointe Claire / St John Fisher Junior School
G / Dorval / Dorval Shopping Centre
CENTRAL MONTREAL
H / Lachine / Maxi - 32nd Ave
I / Lasalle / Carrefour Angrignon
J / Montreal West / Montreal Ouest Town Hall
K / Westmount / Westmount High School
L / St Laurent / Momma's Restaurant
M / Mile End / Bibliotheque Marc Favreau
SOUTH SHORE
N / St Bruno / Tim Hortons on Roberval
O / Brossard / Loblaws behind Autopark
P / Candiac / St. Lawrence Elementary School (Champlain Pavillion)
U / Chateauguay Valley / TBC
NORTH SHORE
Q / Laval / Centre Laval, The Bay
R / Rosemere / Rosemere Community Centre
S / Saint Eustache / Canadian Tire, Arthur-Sauvé
SPECIAL GROUPS
Y / Lachute / Details to be arranged
X / Car/Committee / with preapproval ONLY
Z / OTHER SUGGESTION / PLEASE SUBMIT DETAILS on Page 1 of Registration Form.