ADVENTURE GUIDE AND PRINCESS REGISTRATION FORM

Father's Name:

City: Zip Code:

Address:

E-mail:Home #: Cell #:

Child #1 Information

Princess (Grades K-3)Guide (Grades K-3)

Is this your child's first year in the program? If you prefer a specific Expedition, please indicate:

Child's Name:

School: Grade: Birthdate:

Is this your child's first year in the program?

Child #2 Information

Princess (Grades K-3)Guide (Grades K-3)

If you prefer a specific Expedition, please indicate:

Child's Name:

School: Grade: Birthdate:

Member Rate (If Father has a Single Adult or Family YMCA Membership)

Non-Member Rate (If Father does not have an Adult or Family YMCA Membership)

$40.00/person

$50.00/person

PROGRAM FEE CALCULATION:

Rate per person ($40/members or $50/non-members)

Number of participants (Father and Child count as 2 participants)

TOTAL DUE

X

Please Read and Sign below:

* I have read, understand and agree to adhere to the YMCA of Greenville code of conduct available on Adventure Guides webpage.* I understand that in the event an accident occurs, I am aware the YMCA of Greenville does not provide accident insurance, and will not hold the YMCA of Greenville responsible. * In the event of an emergency where a parent or guardian cannot be reached, I authorize emergency medical professionals to provide necessary first aid and/or hospitalization.

Parent/Guardian Signature Date

FOR YOUTH DEVELOPMENTFOR HEALTHY LIVINGFOR SOCIAL RESPONSIBILITY

This fee covers participation in the YMCA Adventure Guide program. This fee also covers a YMCA Adventure Guide T-shirt for each Guide and Princess enrolled in the program. T-shirts will be issued at the August Jamboree.

FOR YOUTH DEVELOPMENTFOR HEALTHY LIVINGFOR SOCIAL RESPONSIBILITY

MAKE A MAGICALCONNECTIONADVENTURE GUIDES

The Adventure Guide program seeks to strengthen the bond between dads and their children (ages 5-8) through memorable, meaningful, fun activities. Dads and children are grouped into “Expeditions” of 6-10 pairs of father-sons (guides) or father-daughters (princesses) led by a parent-volunteer.

PROGRAMMonthly Expedition MeetingsIndividual Expeditions meet monthly for activities such as pool parties, game nights, sporting events, service projects, special meals, just to name a few.

Big EventsThese are activities that involve Expeditions from all the branches of the YMCA of Greenville. These include: • Fall and spring campouts at YMCA Camp Greenville • A Chili and Cake Cook-Off • Pinewood Derby • Father-Daughter Valentine Dance • Rocketry and Kite-Flying Festival

COSTRegistration fees ($40 per person for Y members; $50 per person for non-Y members) cover program expenses, patches, supplies, and awards. Additional fees are charged for the campouts, and for the Father-Daughter Valentine Dance. Items such as hats and vests (popular for patches) cost extra.

TO REGISTERFill out the application on the reverse side of this form, and take it to any YMCA branch. Each branch has an Adventure Guide champion to help with questions and concerns:

Caine Halter Family Branch Jessie McGuire jmcguire@ymcagreenville.org721 Cleveland StGreenville, SC 29601864-679-9622

Eastside Family BranchLindsey Hardin lhardin@ymcagreenville.org1250 Taylors RdTaylors, SC 29687864-292-2790

George I Theisen Family BranchMatt Greenmgreen@ymcagreenville.org100 Inspirational WayTravelers Rest, SC 29690864-834-2400

Adams Mill Program Center Dale Gilreath dgilreath@ymcagreenville.org100 Adams Mill RoadSimpsonville, SC 29681864-963-3605

Greg McKee, Program Directorgmckee@ymcagreenville.org864-963-3605