2013 Teen Summer Event Sign Up
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1
. Personal Information
Personal Information
Parent/Guardian One
Parent/Guardian Two
Child One
Child Two
Child Three
Child Four
Child Five
Non-emergency phone
Email
2
. Beach Retreat to Ocean City, MD - $40
Youth who have completed 8th grade may attend either trip, but not both.
At this time, this is a GSLC members only trip.
Attending?
# of Youth Participants
Help chaperon if needed?
Middle School (June 15-17)
Yes
No
Beach Retreat to Ocean City, MD - $40 Youth who have completed 8th grade may attend either trip, but not both. At this time, this is a GSLC members only trip. Middle School (June 15-17) Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
Senior High (June 18-20)
Yes
No
Senior High (June 18-20) Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
3
. Washington Nationals Game (Thursday, June 27) - $10
*Friends will be allowed to attend if tickets are still available as game approaches.
Attending?
# of Youth Participants
Help chaperon if needed?
Details
Yes
No
Washington Nationals Game (Thursday, June 27) - $10 *Friends will be allowed to attend if tickets are still available as game approaches. Details Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
4
. Hershey Park Trip (Monday, July 1) - $35
This is a great event to bring friends along!
Attending?
# of Youth Participants
Help chaperon if needed?
Details
Yes
No
Hershey Park Trip (Monday, July 1) - $35 This is a great event to bring friends along! Details Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
Additional Information (ex. "and cousin Dave Eek Rocket")
5
. Lunch @ Buffalo Wild Wings and Laser Tag at Shadowland - $15
Attending?
# of Youth Participants
Help chaperon if needed?
Middle School (July 11)
Yes
No
Lunch @ Buffalo Wild Wings and Laser Tag at Shadowland - $15 Middle School (July 11) Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
Senior High (July 25)
Yes
No
Senior High (July 25) Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
Additional Information (ex. "and cousin Dave Eek Rocket")
6
. Camping Trip at Caledonia State Park (July 17-19) - $30
Attending?
# of Youth Participants
Help chaperon if needed?
Details
Yes
No
Camping Trip at Caledonia State Park (July 17-19) - $30 Details Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
Additional Information (ex. "and cousin Dave Eek Rocket")
7
. Cascade Lake (August 1) - $10
Attending?
# of Youth Participants
Help chaperon if needed?
Details
Yes
No
Cascade Lake (August 1) - $10 Details Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
Additional Information (ex. "and cousin Dave Eek Rocket")
8
. Sandy Spring Climbing Center (August 8) - $25
Attending?
# of Youth Participants
Help chaperon if needed?
Details
Yes
No
Sandy Spring Climbing Center (August 8) - $25 Details Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
Additional Information (ex. "and cousin Dave Eek Rocket")
9
. Paintball (August 18)
Time, location and cost to be announced later
Attending?
# of Youth Participants
Help chaperon if needed?
Details
Yes
No
Paintball (August 18) Time, location and cost to be announced later Details Attending?
1
2
3
4
5
# of Youth Participants
Yes
No
Help chaperon if needed?
Additional Information (ex. "and cousin Dave Eek Rocket")
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