WHAT YOU SHOULD WEAR: Comfortable clothes over your swim suit. You should wear whitesoled tennis shoes.

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1 Junior Blast is a Girl Scout sponsored all night lock-in. There are a variety of activities including swimming, games, crafts, snacks and a service project. This is a unique opportunity for girls to practice independence in a safe environment with adult supervision. **Please note that the event will be a NON-SLEEPING event. All troops that register must provide a minimum of 1 adult for every 8 girls attending the event. All adults must be background checked. No tags allowed. WHO CAN GO: Registered Bridging 3 rd grade Brownies, 4 th and 5 th grade Juniors in Service Units WHERE IT IS: Bridger Middle School, E. M-78 Hwy in Independence Troops will be assigned arrival times between 8:00pm and 8:30pm. Girls need to be picked up by 5:00am on Sunday, April 2 nd. WHAT IT COSTS: $20 per girl, includes program, swimming, food and a patch. Girls needing financial assistance should contact their troop leader. ADULTS: $10 per adult, includes food, swimming, and facility rental. Girl and adult t-shirts may be purchased for an additional $6. THERE WILL BE NO T-SHIRTS AVAILABLE FOR PURCHASE THE NIGHT OF THE EVENT. ALL FEES ARE NON-REFUNDABLE. WHAT YOU SHOULD WEAR: Comfortable clothes over your swim suit. You should wear whitesoled tennis shoes. WHAT YOU SHOULD BRING: A comb and/or brush, towel, clean underwear. NO flip flops, slippers, or nightgowns. Do NOT bring food, gum, candy, drinks, tablets, cell phones, jewelry, curling irons, blow dryers, money or sleeping bags. HOW TO REGISTER: Complete the permission form and return it to your troop leader as soon as possible.

2 Leader Information WE ARE HAVING REGISTRATION TURN-IN ON TUESDAY, FEBRUARY 21 st AND FEBRUARY 28 TH FROM 6:30-8:30PM CONSERVATION ROOM- LOWER LEVEL BASS PRO SHOP BASS PRO DR. INDEPENDENCE, MO. REGISTRATION PROCEDURE 1. Copy the flyer and individual Girl Scout registration forms as needed. Have the parents or guardians complete, sign and date the forms. For all adults attending the event have them complete an adult registration form. Council requires that any adult attending the event must be background checked. Here is the site: Background-Check.aspx Using the individual forms, complete the troop registration form. Total the money due on the registration form and make a BOA troop transfer to JB Girls needing financial assistance should contact their troop leader. Leaders please contact Lisa Anderson-Linboom at , if program assistance is needed. 3. One adult must bring the PROPERLY COMPLETED registration forms (scout and adult) on TUESDAY, FEBRUARY 21 st or FEBRUARY 28 th TO BASS PRO CONSERVATION ROOM BASS PRO DR. INDEPENDENCE, MO. - LOWER LEVEL FROM 6:30-8:30PM. Mailed in registrations will not be accepted. Please note that this will be the ONLY scheduled time registrations will be accepted. All forms will be checked before you leave, so please allow ample time. There will be several people set up to process the registrations, but there could be a waiting line. 4. Confirmation packets will be picked up by a troop representative on Wednesday, March 15, 2017 at BASS PRO BASS PRO DR. INDEPENDENCE, MO. CONSERVATION ROOM- LOWER LEVEL FROM 6:30-7:30pm. It will contain a roster, check in times and service project information. ADULTS WILL BE ASSIGNED TO WORK AT THIS EVENT. Adults will be given their work assignment the night of the event. It is IMPERATIVE that you show up at your assigned time and place so that all the adults may enjoy spending time with their troop. If you cannot make your assigned work time, it is your responsibility to find a replacement. Without the volunteers to help at each of the work assignments, this event would not be possible. WHAT IF. - A girl can not go after you register her with your troop OR a girl wants to go after your troop has registered. - You can replace her with another girl from the same troop. - There will be NO refunds. - NOTE: You MUST notify Lesma Whalon by lesma.whalon@lsr7.net when you replace a girl or need to amend your roster so we can maintain proper records and to ensure the health and safety of each girl. If a registered adult cannot attend please contact Lesma Whalon. Troops can choose to leave early. Troops choosing an early departure may not be able to participate in all activities. All troops must be out of the building by 5:00am. If a scout leaves early they will check out with Health and Safety as well as the adult monitoring the front doors. Girls WILL NOT be allowed to leave without prior parent consent.

3 JUNIOR BLAST CHECKLIST: Registration: Ensure all girl and adult registration forms are completed properly. Adult attending event, address and phone number are on the Troop Registration Form. Attach a copy of the ed confirmation of BOA transfer to JB645 you received from council. Keep a copy of Flyer for future reference. Keep copy of girl and troop registration forms. Additional registration information and helpful hints: All registrations will be turned in at the Bass Pro Shop BASS PRO DR. INDEPENDENCE, MO. Conservation Room Lower Level Feb. 21 st or Feb. 28 th in person. By having the leader/adult wait while the forms are checked, any missing information can be highlighted, the leader/adult can call the parent to get the needed information, and the troop registration can be processed. We are hoping this will cut down on frustration, while still allowing the registration committee to ensure the safety of each girl and adult attending the event. This will also eliminate any registrations being lost or delayed in the mail. We also realize that there is a potential to have long lines waiting to turn in the registrations. We will have several people available to check the forms. We hope to be able to keep the lines moving and not have anyone wait for an unreasonable amount of time. Again, if all leaders have checked the forms prior to turning them in, the process will go smoother AND quicker. Coming To and During the event: Eat dinner before arriving only snacks are served. Arrive and check in at your assigned time as a troop-no individual drop-offs. No sleeping bags. Stay with your buddy. Determine which adult will attend the mandatory leader meeting. Have a great time!! Any questions contact: Lesma Whalon lesma.whalon@lsr7.net

4 2017 Junior Blast 3rd 5TH GRADE TROOP REGISTRATION Troop Number SU Grade level: Leader/Adult Attending Event Phone CONFIRMATION PACKETS WILL BE PICKED UP ON MARCH 15, 2017 BASS PRO CONSERVATION ROOM BASS PRO DR. INDEPENDENCE, MO. - LOWER LEVEL FROM 6:30-7:30pm EVENT DEPARTURE TIME 5:00am 1 Name Girls PRINT alphabetically who will be attending the event with your troop Fee - Girls $20.00 T-shirt & Size $6.00 Non-Swimmer Wader Beginner Skilled Total Name- Adults Adult $10.00 Required Background Check Completed TOTAL DUE Bring a copy of confirmation of BOA transfer to JB645 and all registrations on TUESDAY, FEBRUARY 21 st OR TUESDAY 28 TH TO BASS PRO SHOP BASS PRO DR. INDEPENDENCE, MO. CONSERVATION ROOM LOWER LEVEL From 6:30-8:30pm

5 2017 Junior Blast Girl Scout Registration Scout Name Address Troop # SU Parent/Guardian Home Phone Parent Cell Phone During this event: Parent can be reached at Work Home Cell At Event Emergency contact person My daughter s physician is Phone Phone Pertinent medical information and/or allergies: Dietary Restrictions: My daughter has my permission to swim Yes No CHECK ONE: My daughter s swimming ability is Non Swimmer- Not Allowed in Pool Area Wader- Allowed into the 3 foot wading pool only Beginner Shallow End (3-5 ft.) Skilled If passes swim test, will be allowed in deep end (over 6 ft.) Registration Fee $20 $ T-shirt size $6.00 $ YS YM YL AS AM AL AXL AXXL Total $ Check out time is 5:00am My daughter will be leaving early Yes No I give permission for my daughter to attend Junior Blast To The Past, April 1, 2017 to be held at Bridger Middle School in Independence. You have my permission to administer or authorize emergency treatment, although you will make reasonable efforts to contact me. I give consent that photographs of my daughter may be used by Girl Scouts of NE Kansas and NW Missouri for council publication. Signature of parent Date

6 2017 Junior Blast ADULT REGISTRATION Name Address Phone ( ) Cell Phone ( ) S.U. Troop # Emergency contact 1 Phone ( Emergency contact 2 Phone ( My Physician is: Phone ( ) ) ) Pertinent Medical Information: Dietary Restrictions: Registration Fee $10 $ T-shirt size $6.00 $ AS AM AL AXL AXXL AXXXL Total $ During our troop swim time, I will be a Swimmer Pool Watcher Council requires that any adult attending the event must be background checked. I have filled out a background check through council Yes No Check.aspx ADULTS WILL BE ASSIGNED TO WORK AT THIS EVENT. Adults will be given their work assignment the night of the event. It is IMPERATIVE that you show up at your assigned time and place so that all adults may enjoy spending time with their troop. You have my permission to administer or authorize emergency medical treatment, although you will make reasonable efforts to contact the person(s) listed in the emergency contact section. I am in good physical condition and will participate in all activities. By signing below, I authorize all pictures taken at this event to be the property of Girl Scouts of NE Kansas & NW Missouri, Inc. Signature Date Please note this is a non-sleeping event. ****** Adult Hospitality Room****** If you would like to share special adult snacks, please bring a snack to share plus a 2 liter of soda. We have a special area set aside to escape noise, etc. You may also enjoy the treats provided in the cafeteria with your troop if you choose. We sincerely appreciate your help with this event!