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Jedi Nation: at the Tri-District Summer Day Camp.
Tuesday, June 22nd through Friday, June 25th
Bay City Bowmen Club
Beaver and Eight Mile Roads, Kawkawlin
Event time, Tue-Thur. 8:30am – 3:30pm, Fri 1:45pm - 8:00pm
Crafts, Games, B.B. Gun, Archery, Wood, Songs,
Webelos advancements: Outdoorsman, Handyman, Forester
Belt loop program and special service program advancement.
All ranks will receive advancement and electives towards
their next rank when they leave Day Camp.
Early registration cost is $55 for all 4 days by June 1st and includes a free T-shirt
From June 1st - 12th cost is $65 without T-shirt
After June 13th the cost is $80 or $22.00 per day (with no shirt)
(Advance Payment Required, No Phone Reservations Accepted)
* We are looking for staff for this event. Please contact:
Kim Mateos, Day Camp Administrator @ 989-225-2854.
Mark Dewitt, Day Camp Program Director @ 989-798-3086.
Email Mark at; shorelinedaycamp@yahoo.com
Extra shirts may be ordered but must be paid for when registering by June 1st.
Shirts not paid for will not be ordered.
Shoreline Day Camp (act #6104)
T-SHIRT SIZES (fill in below) Extra Shirts YM, YL $10, Adult S–XL $12, 2XL $13 3XL $14 4XL $15
Youth Med. (10-12) ______ Youth Large (14-16) _______ Adult Small ______ Med. 38-40 ______
Adult Lg ______ XL ______ XXL______ XXXL______ XXXX_______
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*NOTE: ONE ADULT MUST ATTEND CAMP FOR EVERY 5 OR MORE * 2ND, 3RD, 4TH & 5TH GRADE BOYS FROM A DEN/PACK THAT ATTENDS CAMP. Example: three 2nd graders + three third graders + two 4
th graders - you need to have 3 adults
Days attending T ___ W ___ TH ___ F ___
Scout Name:___________________ Phone # _________________ address:_____________________
City/Zip:___________ Pack:_______ D.O.B. ________ School Grade as of September 1st 2010________
Does your Scout have any Special needs?________________________
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*It is required that an adult (18 yrs or older) attend with each graduated Kindergartener every day.
Please fill out completely and return with check or money order to Lake Huron Area Council,
P.O. Box 129, Auburn, MI 48611-0129 to reserve your place for these exciting adventures. (act. 6104)
VISA, MC, DISC # ___________________ V. CODE _________ EXP. DATE____________
SIGNATURE ____________________________________________
TOTAL $ ENCLOSED _____(DUPLICATE THIS FORM FOR EACH SCOUT ATTENDING CAMP)
Council Service Center phone number is 989-662-4464.
Names of adult(s) attending camp __________________________________________________
(Please write in names of all adult chaperons and days attending day camp.
If necessary, attach a separate list). Which day(s) attending (please circle) T W TH F
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BSA Medical form required everything but Part B /eu.aspx?url=http%3a%2f%2f216.229.20.67%2fpubs%2fAnnualBSAHealthMedicaRecord_LHAC.pdf