Girl Scouts of Buckeye Trails Council Registration Form for Challenge Courses

Available from April – November (weather permitting)

Course  Camps  Age  Fee    Choice/Camp Requested
Team Bldg Initiatives & Wall WPW/RH & GRN Brownies    $10/person  
Team Bldg-Low course and Wall  WPW/RH & GRN Juniors  -SR  $10/ person   
Flying Squirrel WPW CD, SR $12/person  
High Challenge Course WPW CD, SR $15/person  
Shocker (includes 5 elements)(Wall, Double Swing, Dangle Duo, Zip Line & Pamper Pole) RH  CD, SR $20/person  
Stand Alone – Wall Only (2 hrs) WPW/RH  All Ages  $  5/person  
Stand Alone – Squirrel Only (2 hrs WPW  CD, SR $  8/person  
Rock Climbing – John Bryan State Park Greene  CD, SR $20/person   

Course session times avaialble are 8:30am - 12:30 pm or 1:00 pm - 5:00 pm

Date Time

Date Time

Date Time

Date Time

Group Leader   Phone E-Mail

Troop #      Service Unit     Program Age Level      

All groups MUST do low course to progress further

Address City Zip

# of Participants   Total Fee $ _________________ 1/2 of Total Fee = $____________

Deposit enclosed

Method of Payment: Check Visa MasterCard American Express DiscoverCard

Credit Card # Exp. Date

Signature