Girl Scout Leave No Trace Workshop

We look forward to welcoming you to our Girl Scout Leave No Trace Badge Workshop on Saturday, November 1st, 10 am - 2 pm! This program is open to Junior and Cadette Girl Scouts, as well as their family and friends. During the workshop, Girl Scouts will be divided into two groups by age level: Juniors will work on the Eco Camper badge. Cadettes will work on the Eco Trekker badge. Both badges focus on the principles of Leave No Trace and responsible recreation, but each includes activities designed to match the skills and interests of its grade level.

Parent or Guardian Name *

First

Last

Please note: we ask that every party has at least one adult chaperone. Adult chaperones are responsible for their children at all times. No drop-offs, please.

Parent or Guardian Contact Information

Address Line 1

Address Line 2

City

State

Zip Code

Mailing addresses are OPTIONAL and will only be used for statistical purposes to help the C&O Canal Trust to apply for grant funding to help make future programs possible.

Email *

Phone *

Participant Information *

Name of Girl Scout who will be completing activities to earn the Leave No Trace Badge(s). ***If you are registering multiple girl scouts, please list all of their names here***

Troop Level of Girl Scout(s) (Check all that apply) *

Juniors (Grades 4-5)
Cadets (Grades 6-8)

Number of family and friends that will be accompanying the Girl Scout(s), but not participating *

These are additional family and friends planning to accompany the Girl Scout participant(s) on-site, but NOT earning the badge(s). **Due to limited supplies, pre-registered Girls Scouts will have first priority with completing activities.**

Does anyone in your party have allergies or medical conditions we should be aware of?

Does anyone in your party need accommodations?

i.e. mobility assistance, sensory considerations etc.? The badge workshop is OUTDOORS and wheelchair accessibility is limited. However, reasonable accommodations can be made for the workshop. Please contact Becky at [email protected] with any questions.

MEDIA RELEASE FORM: By checking the box below, I hereby consent and agree that the C&O Canal Trust, its employees, contractors, and/or agents have the right to take photographs and/or digital recording, and other images of me and/or the minor(s) under my supervision, and to use or exhibit them, or license them for use or exhibit by others in any and all media, now or hereafter known, for the purpose of furthering the mission of the C&O Canal Trust. I further consent that my name and identity and the name and identity of the minor(s) under my supervision may be revealed therein or by descriptive text or commentary. I do hereby release to the C&O Canal Trust, its agents, contractors and employees all rights to exhibit this work in print and/or electronic form, publicly or privately, and to market and sell copies. I waive any rights, claims, or interest I may have to control or to approve the use of my identity or likeness and/or those of the minor(s) under my supervision in whatever media used. I understand that there will be no financial compensation or other remuneration for recording me and/or the minor(s) under my supervision, either for initial or subsequent transmission or playback. I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement. I further represent that I have the authority to grant the foregoing release on behalf of the minors identified below.

I agree
I DO NOT agree

Comments, Questions and Anything else we should know?

Photo credit: Girls Who Hike Virginia Staff

Girl Scout Leave No Trace Workshop

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