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"Take Flight"

Eastern Skies District Twilight Camp

Monday, June 08 - Friday, June 12  2015
4:00 pm - 8:30 pm

Rorie Galloway

district logo

Fees paid for Camp are non-refundable and are not pro-rated based on the number of days a Scout attends Day Camp. Fees will not be refunded due to cancellation of camp for weather, or other unavoidable circumstances. Registrations received after Friday, May 01, 2015 are not guaranteed a T-shirt or program supplies.

Registration Form

1 Person per Form

      We also need:

  • 2 copies of Medical Form #680-001 parts A&B.
  • Shot record information recorded on Medical Form
  • Copy of Medical Insurance Card
  • Adult leaders need Youth Protection Training.

Camp Fees

Early Bird: $85
Regular: $95

  • Checks made payable to Circle 10
  • Early Bird Registration is on or before Friday, May 01, 2015

William Hayden
Camp Director
631 Sumner Dr.
Mesquite TX 75149
Hm 972-285-7917
Mb 214-641-3995

Desiree Erb
Program Director

Hm 972-287-5828
Mb 972-330-9687

Program Director
This form is for a:
Tot* Tiger** Wolf Bear Webelos 1 Webelos 2 TFC
Youth Staff Adult Staff Tiger Cub Partner

*Tots must have a parent working on staff all week.
**Tigers MUST be accompanied by an adult all week.
Registrant Information

Parent Contact Information
Authorized Transport  (if different from Parent above)

Is there anyone your child cannot be released to? , if so, who?

T-Shirt Order   (One included with Camp Fees, additional shirts are $10 each

Additional Shirt @ $25 Age Group: Size:
Additional Shirt @ $25 Age Group: Size:
Additional Shirt @ $25 Age Group: Size:

The various age groups have different colored shirts which are determined shortly before camp. Sorry, we can't offer custom colors.

Not all shirt sizes are available for every age group selection.

Camp Fees
Camper Fee
T-Shirt (1 included) $0
Additional T-Shirts


Make checks payable to:
Circle 10

Security code from the image above: 
  If you can't read the code, press here to get a new one.

PHOTO RELEASE. I hereby assign and grant to the local council and the Boy Scouts of America the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me or my child by the Boy Scouts of America, and I hereby release the Boy Scouts of America from any and all liability from such use and publication.

I hereby acknowledge that if my Scout wanders outside of the camp boundaries without a leader present, he/she will be sent home for the remainder of the 2014 camp without a refund.

I hereby acknowledge that by clicking the "Submit" button below, that it IS NOT A PAID invoice.

Complete the form, press the submit button, print out the completed form, sign it and deliver it, along with payment to the camp directors.