2021 Leaderee You're A Gem! - 2021 Leaderee Volunteer Learning Event - Girl Scouts Peaks to Piedmont
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2021 Leaderee You’re A Gem! 2021 Leaderee Volunteer Learning Event September 18, 2021 | Keyauwee Program Center, Sophia, NC Scholarship Requests Due: August 2, 2021 Registration Deadline: August 16, 2021
WHAT YOU NEED TO KNOW FOR LEADEREE... REGISTRATION PROCESS: COMMEMORATIVES: Adult volunteers can register online via MyGS/ Your registration includes the Leaderee 2021 Active Network. Expect an instant e-mail You’re a GEM patch! The 2021 commemorative response telling you that your registration has short-sleeve T-shirt and charm, as well as been processed. Please open immediately to the 40th anniversary long-sleeve T-shirt will confirm everything is correct. Registration is available for purchase on the registration also available using the enclosed registration form. Don’t forget your pin to hang up to seven form and either mailing, faxing or hand Leaderee charms! Grab the favorite “My mom delivering it to your nearest service center. went to Leaderee” patch, mug, neckerchief and Please allow a few days for paper registrations a tote bag to top off your Leaderee swag. Charms, to be processed. Don’t let finances keep you pins and patches from previous years will be from joining us at Leaderee! Apply for the available during the weekend while supplies Ed Whitmire Adult Learning Scholarship last. No commemorative refunds after August 16, Program Fund. See page 3 for more 2021. information. Important Note: Some classes are limited SNACK TABLE: Bring an individually wrapped snack to share in size. Assignment is made on a first come, with everyone! You will be assigned a type of first served basis. If a class/training requires snack in your confirmation packet. The snack more than one session to complete, you table is always a Leaderee favorite! must register for each session to meet the requirements. GEM DIVAS CONFIRMATIONS: AKA SECRET BUDDIES: About two weeks before the event, you will Bring one wrapped gift to be a part of the Gem receive a confirmation packet with directions Divas aka Secret Buddies festivities. Gem Diva to camp, emergency phone numbers, what to names will be available at check-in on Saturday. bring, when to arrive and more! If your packet There will only be one gift exchanged during the does not arrive, contact closing session. Gifts should not exceed $5 in gsp2pleaderee@gmail.com to request a total. replacement. REFUNDS: No refunds will be given after SILENT AUCTION, LIVE AUCTION August 16, 2021 as commemoratives will have & DOLLAR TABLE: been ordered and final head counts given to The Ed Whitmire Scholarship Fund assists instructors and caterers. If you cannot attend, volunteers with expenses for learning sessions. we encourage you to find a substitute to take Over the years, we have raised hundreds of your place. dollars for the “Ed Fund” through our silent auction open Saturday. There is also a live TRANSPORTATION: auction during closing Saturday evening. Don’t Transportation around camp from class to miss out on the bargains found on the dollar table class will not be available this year. Please in the dining hall all day long. Be sure to bring be prepared to walk. We're sorry for any your cash, checks and cards to the event! If you inconvenience and hope to be able to provide are interested in donating items please e-mail this service again next Leaderee. the committee at gsp2pleaderee@gmail.com. Items may be dropped off at the Triad Service Center or brought to the event. 1
What is Leaderee? Created to show appreciation to the hardworking adult volunteers of Girl Scouts Carolinas Peaks to Piedmont, Leaderee is an adult camporee full of fun, friends and fellowship! For 40 years adult Girl Scouts have been gathering at our beloved Keyauwee Program Center to take trainings, do arts and crafts, mingle with other adults, relax and learn new skills to take back to their troops. Come join us for a fun celebration to energize your batteries and kick off the new Girl Scout year! Saturday, September 18 ONLINE SAFETY 7 - 7:15 a.m. COURSES: Camp License Attendees Arrive An Overnight License is 9 - 9:45 a.m. required for all overnight Arrive, check-in and drop off Gem Divas gift events with your troop. There are two courses that 10 - 11 a.m. you complete through Session 1 independent study. Follow the links to the coursework 11:15 a.m. - 12:15 p.m. and submit your answers Session 2 to your nearest service 12:20 - 12:50 p.m. center. Some classes will Lunch require you to bring in your answers. 1 - 2 p.m. Session 3 Be Safe, Be Ready: Outings and Overnights 2:15 - 3:15 p.m. tinyurl.com/ Session 4 outingsandovernights 3:30 - 4:30 p.m. Session 5 Be Safe, Be Ready: Girl Planning tinyurl.com/ 4:45 - 6 p.m. girlplanning Closing, live auction, silent auction winners announced and Gem Divas gift exchange 2
The Ed Whitmire Scholarship Fund Ed Whitmire was a dedicated trainer for both the Pisgah and Hornets’ Nest Girl Scout councils for many years. After his death in 2005, the Girl Scouts Carolinas Peaks to Piedmont Ed Whitmire Scholarship Fund was created in his honor, as a way of continuing his work of training and inspiring adult Girl Scout volunteers. Each year, the fund is fed and nurtured by fundraising at our three AWESOME Retreats. If you have donated or purchased items offered at the auctions at these events, YOU are helping to continue Ed’s work. Thank you! If you receive a scholarship to attend learning events, you are also helping to continue his legacy. Please don’t let financial issues keep you from the fun, fellowship and training available to you here at GSCP2P! P2P registered adults in good standing may apply for up to 75% of registration and course fees (not commemorative items). All requested information must be completed fully and submitted by the early bird registration deadline (July 19) in order to be considered for a scholarship. Once approved, a scholarship code will be provided to allow online registration for the learning event. Use our online scholarship application by going to https://girlscoutsp2p.wufoo.com/forms/ed- whitmire-scholarship-application/. No computer access? Scholarship applications may also be completed by calling 800-672-2148. WHAT CLASSES SHOULD I CHOOSE? There really is no “should” when it comes to course selection - you are free to select as many or as few as you like to make your weekend AWESOME. We encourage you to take classes that interest you as well as impact your troop in a positive way. The icons below will appear beside the course descriptions to help clarify requirements for completing licenses. Required for fires and outdoor cooking with your troop. Fire Building Cook Out License Outdoor Cooking Prerequisites: Overnight License (online) Required for tent camping or camping on non-council property. Tenting Camp License Prerequisites: Overnight and Cook Out Licenses Required for many First Aid First Aider activities including CPR Certification camping and travel. Not required, but Girl Scout History will help you have Leadership Gems Preparing For The Year a well-rounded Travel Girl Scout year. and more! 3
SESSION 1 CLASSES Saturday, September 18, 10 - 11 a.m. Some classes are limited in size. Assignment is made on a first come, first served basis. If a class/ training requires more than one session to complete, you must register for both sessions. LE 1.1 Free Time/Instructing and learning differences/ its name. Select this option if you are disabilities. Take Bring: Ruler, scissors, instructing, not taking a class or communication, social/ permanent transparent tape volunteering during Session 1. emotional and behavioral and removable masking tape Cost: Free strategies back to your troop Cost: $5 and service unit so we can Facilitator: Brenda Davidson LE 1.2 Camp License, better integrate ALL girls into part 1 our programming and troops. LE 1.8 Gemstone Trees, part 1 This year fire building, outdoor You must register for LE 2.4. Create a miniature twisted wire cooking and tenting will be Cost: Free and gemstone tree. taught as one all-day class. It Facilitator: Tricia Gladstone You must register for LE 2.8. will last from 7:30 a.m. - 4:30 Bring: Craft or needle nose p.m. It will include lunch. You LE 1.5 Leave No pliers must stay for the entirety to Trace Cost: $7 receive your camp license. Learn the seven Facilitator: Christine Hanichak You must register for LE 2.2, principles of LNT, 3.2, 4.2 and 5.2 to meet the how to teach them LE 1.9 Randy's Birdhouses, requirements for certification. to your troop and use them in part 1 Prerequisite: Overnight License nature. Make your own Bluebird house (info found on page 2) Cost: Free learning to use a power skill saw, Bring: Pocketknife and mess Facilitator: Kaydee Tieman drill and other tools. kit (plastic or metal dishes and Bring: Hammer, old license silverware in a mesh bag) LE 1.6 Birthplace Bound plate, quart of oil based paint Cost: $20 Juliette Gordon Low was born or stain (outdoor paint or stain) Facilitator: Pam Hopkinson and and grew up in Savannah, GA of any color, apron or wear old Trish Clark where she founded Girl Scouts clothes. You must register for LE in 1912. Girl Scouts can enjoy 2.9. LE 1.3 CPR, part 1 a pilgrimage to Savannah and Cost: $15 Current CPR certification Juliette's childhood home, the Facilitator: Randy Davidson is required of a troop adult First National Headquarters, before participating in certain and more to learn about Girl LE 1.10 Beginner Archery activities. The certification for Scout history, as well as many For those new to the archery this class is valid for two years. other Savannah attractions. range, learn the basics of You must register for LE 2.3 Learn about opportunities for archery and then try out your to meet the requirements for your troop, how to plan the trip new skills by aiming at targets. certification. and more from a seasoned If you have ever been on the KPC Cost: $20 traveler who has made this trip range choose LE 5.8 Advanced Facilitator: Lisa Young with troops more than 10 times. Archery instead. Cost: Free Cost: $5 LE 1.4 Walk In My Shoes: Facilitator: Beth Steelmon Facilitator: Tracy Blethen Disability Awareness And Inclusion In Girl Scouts, part 1 LE 1.7 Iris Folding Learn how to promote an Fold paper strips into a design inclusive community for by following a pattern. The Girl Scouts with physical center of the design resembles the iris of a camera lens hence 4
SESSION 2 CLASSES Saturday, September 18, 11:15 a.m. - 12:15 p.m. Some classes are limited in size. Assignment is made on a first come, first served basis. If a class/training requires more than one session to complete, you must register for both sessions. LE 2.1 Free Time LE 2.6 Girl Scout History Select this option if you are Patch Bring back a surprise for instructing, not taking a class or Learn about the history of your Girl Scout at home or volunteering during Session 2. Girl Scouting and Girl Scouts treat yourself! Cost: Free Carolinas Peaks to Piedmont. Learn how your troop can TRADING POST: LE 2.2 Camp License, borrow materials from your Stock up on Girl Scout part 2 local service center to earn this merchandise! The Trading You must also register for LE 1.2, patch. Post will be open select times 3.2, 4.2 and 5.2. Cost: Free during Leaderee. Cost: Covered in LE 1.2 Facilitator: Linda Mathis LE 2.3 CPR, part 2 LE 2.7: Girl Scout Journeys GIFTS THAT KEEP ON GIVING: You must also register for LE 1.3. Come discuss the ways to make The silent and live auctions are Cost: Covered in LE 1.3 Journeys more enjoyable with a a Leaderee favorite! There are tenured Girl Scout leader. bargains to be found on the LE 2.4 Walk In My Shoes: Cost: Free dollar table in the dining hall Disability Awareness And Facilitator: Karin Rochester all day long, too! Over the years, Inclusion In Girl Scouts, part 2 we have raised hundreds of You must also register for LE 1.4. LE 2.8 Gemstone Trees, part 2 dollars for the “Ed Fund.” The Cost: Covered in LE 1.4 You must also register for LE 1.8. Ed Whitmire Scholarship Cost: Covered in LE 1.8 Fund assists volunteers with LE 2.5 Where Can A Girl expenses for learning sessions. Scout Go? LE 2.9 Randy's Birdhouses, Learn about international travel part 2 to the five Girl Scout/Girl Guide You must also register for LE 1.9. World Centers. We will explore Cost: Covered in LE 1.9 information on the five centers, opportunities to travel to them, LE 2.10 Rock Art how to plan, how to fund these Create positive message rocks adventures and about the to help decorate camp or take fellowship with our sister Girl home. Scouts and Girl Guides from Cost: $4 around the world. The facilitator Facilitator: Deborah Cucore has been to three of the five centers (and the others are on her bucket list). Cost: Free Facilitator: Beth Steelmon 5
SESSION 3 CLASSES Saturday, September 18, 1 - 2 p.m. Some workshops are limited in size. Assignment is made on a first come, first served basis. If a class/training requires more than one session to complete, you must register for both sessions. LE 3.1 Free Time LE 3.4 First Aid, part 1 LE 3.7 Cracked Marble Select this option if you are Current first aid certification Necklace instructing, not taking a class or is required of a troop adult Mix a bit of science with a bit volunteering during Session 3. before participating in certain of craftiness to make your own Cost: Free activities. The certification unique necklace. You'll leave for this class is valid for two with a necklace and at least five LE 3.2 Camp License, years. You must also register cracked marbles. part 3 for LE 4.4 and 5.4 to meet the Bring: Jewelry pliers You must also register for LE 1.2, requirements for certification. Cost: $5 2.2, 4.2 and 5.2. Cost: $20 Facilitator: Sandra Abrams Cost: Covered in LE 1.2 Facilitator: Lisa Young LE 3.3 Camp License LE 3.5 Bath Bombs LE 3.8 Nature Center/ Renewal, part 1 Learn how to create your own Enchanted Lane Camp Licenses must be bath bombs. This is a fun Have you seen the newly renewed every five years. If hands-on activity and you will revamped Nature Center? Join you earned your Camp License leave with bath bombs to take us as we take a tour through prior to September 2016, home! the area to see what all can be take the Camp License class Cost: $5 done there while your troop (which includes fire building, Facilitator: Melissa Anderson is camping. You will have the outdoor cooking and tenting). chance to try an activity or If you have never taken the LE 3.6 Ozobots two. We will then stroll down Camp License courses this Come meet our Enchanted Lane to visit the Fairy class is not for you. You must cute, little computer Villages and learn about the fun register for LE 4.3 and 5.3 to coding robots available patch that your troop can earn meet the requirements for for use from the service by walking the trail and doing recertification. centers. Ozobots are a great several activities. Prerequisite: Must have earned way to introduce computer Cost: Free Camp License after September programming to your troop. Fun Facilitator: Brenda Newsome 2015 AND Overnight License and easy for anyone to learn! 2016 or after. This is a renewal Cost: Free LE 3.9 Boating course only. Facilitator: Evelyn Freeze Choose from a canoe, a kayak Bring: Pocketknife or a paddle boat to take a spin Cost: $10 around Lake Early. Learn basic Facilitator: Dawn Hill strokes on shore and then off you go to master your skills. This is not a certification course. Cost: $4 Facilitator: KPC Staff 6
SESSION 4 CLASSES Saturday, September 18, 2:15 - 3:15 p.m. Some workshops are limited in size. Assignment is made on a first come, first served basis. If a class/training requires more than one session to complete, you must register for both sessions. LE 4.1 Free Time LE 4.6 Gem Mining/Sluicing LE 4.8 Scavenger Hunt Select this option if you are Try your hand at panning for Check out all KPC has to offer instructing, not taking a class or gems. You’ll get to try out a while looking for clues put volunteering during Session 4. homemade water sluice while together by a local troop. Cost: Free looking for gems to take home. Cost: Free Cost: $5 Facilitator: Melissa Anderson LE 4.2 Camp License, Facilitator: Tony Crabtree part 4 LE 4.9 Climbing Wall You must also register for LE 1.2, LE 4.7 Paper Quilling, part 1 Take on the climbing wall 2.2, 3.2 and 5.2. Paper quilling is the art of rolling without your girls looking on. Cost: Covered in LE 1.2 and pinching long thin strips Can you make it to the window of paper into different shapes or all the way to ring the bell? LE 4.3 Camp License to create decorative art. Learn Cost: $9 Renewal, part 2 some simple techniques and Facilitator: KPC Staff You must also register for LE 3.3, make your own masterpiece. All and 5.3. supplies provided and tools to Cost: Covered in LE 3.3 take home. You must register for LE 5.7. LE 4.4 First Aid, part 2 Cost: $8 You must also register for LE 3.4, Facilitator: Christine Hanichak and 5.4. Cost: Covered in LE 3.4 SWAPPING: Special Whatchamacallits Affectionately Pinned Somewhere or LE 4.5 Leadership Gems Share With A Pal... no matter what you call them, S.W.A.P.S are a Join us as we share tidbits and fun part of all the A.W.E.S.O.M.E. events! Don’t miss out! For ideas tips on having a successful and etiquette, search “S.W.A.P.S” on www.girlscoutsp2p.org. troop year. New to Girl Scouts 75-100 S.W.A.P.S should be adequate. and have no idea what needs to be done? Tenured leader S.W.A.P.S TIPS and want ideas of how to make ♥ S.W.A.P.S shouldn’t be edible - no cookies or candies. Skunks, things fun while keeping up mice and even bears like edible S.W.A.P.S! with everything? Re-joining ♥ Include your name, e-mail address, etc. on your SWAP so your the Girl Scout leadership team new friends can reach you. and confused with all of the ♥ S.W.A.P.S frequently have pins so they may be worn on a changes? This workshop is for hat, sash, ribbon or jacket, although they can also be patches, you! necklaces, bracelets... Bring: Troop calendar or a blank ♥ S.W.A.P.S may depict the theme of the event, represent one of calendar, any badge books you your interests or share something about your hometown - the sky want to complete and your is the limit! ♥ Check out YouTube, Pinterest and other social media sites for training card to have this class ideas. signed off on. ♥ Be courteous! Swap with everyone. It’s nice to give S.W.A.P.S Cost: Free to someone who doesn’t have any to trade. Facilitator: Brenda Newsome ♥ Carry extra S.W.A.P.S so no one is left out. We recommend and Tracy Blethen 75-100 S.W.A.P.S. ♥ Forgot your S.W.A.P.S? Swap a hug! 7 ♥ Always say thank you!
SESSION 5 CLASSES Saturday, September 18, 3:30 - 4:30 p.m. Some workshops are limited in size. Assignment is made on a first come, first served basis. If a class/training requires more than one session to complete, you must register for both sessions. LE 5.1 Free Time LE 5.7 Paper Quilling, part 2 Select this option if you are You must also register for LE 4.7. instructing, not taking a class or Cost: Covered in LE 4.7 volunteering during Session 5. Cost: Free LE 5.8 What's All The Buzz? Join us to check out the new LE 5.2 Camp License, Bee Hive Apiary at the Nature part 5 Center. Learn all about bees and You must also register for LE 1.2, how they impact our food chain. 2.2, 3.2 and 4.2. This addition is a Silver Award Cost: Covered in LE 1.2 project. Cost: Free LE 5.3 Camp License Facilitator: Bella Siler Renewal, part 3 You must also register for LE 3.3, LE 5.9 Letterboxing/ Geo- and 4.3. caching Cost: Covered in LE 3.3 Travel around KPC while looking for treasure. Bring a few trade LE 5.4 First Aid, part 3 items to swap, like old badges, a You must also register for LE 3.4, friendship bracelet or a penny. and 4.4. Cost: Free Cost: Covered in LE 3.4 Facilitator: KPC Staff LE 5.5 Coat Hanger Snowflakes LE 5.10 Advanced Archery Join us as we take plastic coat For those who are familiar with hangers and create a beautiful the KPC archery range. Go over snowflake that you can hang safety then take aim at the on a wall inside or even hang targets. outside. You will be able to Cost: $5 make two and then add either Facilitator: Tracy Blethen a string of lights or garland to make it even fancier! Cost: $5 Facilitator: Brenda Newsome Your registration includes LE 5.6 Gem Mining/Sluicing the Leaderee 2021 You’re Try your hand at panning for a GEM patch! The 2021 gems. You’ll get to try out a commemorative short-sleeve homemade water sluice while T-shirt and charm, as well looking for gems to take home. as the 40th anniversary This is not a part 2, but another long-sleeve T-shirt are session to accomodate more available for purchase on the participants. registration form. Cost: $5 Facilitator: Tony Crabtree 8
2021 Leaderee Volunteer Learning Event September 18, 2021 | Keyauwee Program Center, Sophia, NC REGISTRATION FORM: PERSONAL INFORMATION Please use one form per person. Registration includes: Saturday lunch, event patch, fun and fellowship! Registration deadline is August 16, 2021. Remember you can register online using MyGS/Active Network at www.girlscoutsp2p.org if you are a registered member of P2P. Name: __________________________________________________________________________________________ Address: ________________________________________________________________________________________ City, State, Zip: ___________________________________________________________________________________ Phone (H): ___________________________________________ Phone (C):__________________________________ E-mail: ________________________________________________________________Date of Birth: ______________ Meal Plan: (Lunch is included, but a headcount is needed for the caterer.) o Saturday Lunch at the Dining Hall (If taking Camp License class, do not check.) Special Accommodations Alert: (List any food allergies, physical, medical, C-PAP, etc.) _________________________________________________ _________________________________________________ _________________________________________________ REGISTRATION OPTIONS Register Online: _________________________________________________ For immediate registration confirmation, please register through MyGS/Active Network at o I would like to participate in the Gem Divas (secret buddy) www.girlscoutsp2p.org gift exchange. (Visa, MasterCard, American Express and Discover are accepted online). Register through the mail or in person: Return registration form with a check for the registration fee to: GSCP2P 8818 West Market Street Colfax, NC 27235 Requesting a scholarship? Apply online at https://girlscoutsp2p.wufoo.com/ Register through fax: forms/ed-whitmire-scholarship- Fax registration form to 828-328-6870 application/. and call 800-672-2148 with your credit See page 3 for more information. card information.
2021 Leaderee Volunteer Learning Event September 18, 2021 | Keyauwee Program Center, Sophia, NC REGISTRATION FORM: WORKSHOP CHOICES Please mark your first, second and third choice under each Workshop Session. Some workshops are limited in size. Assignments are made on a first come, first served basis. If a class/training requires more than one session to complete, you must register for each session to meet the requirements! Session 1 - Saturday 10 - 11 a.m. Session 4 - Saturday 2:15 - 3:15 p.m. Course ID and Name Choice # Fee Course ID and Name Choice # Fee LE 1.1 Free Time $0 LE 4.1 Free Time $0 LE 1.2 Camp License, part 1 $20 LE 4.2 Camp License, part 4 $0 (also select 1.2, 2.2, 3.2 and 5.2) LE 1.3 CPR, part 1 $20 LE 4.3 Camp License Renewal, part 2 LE 1.4 Walk In My Shoes: Disability $0 (also select 3.3 and 5.3) Awareness And Inclusion In Girl $0 Scouts, part 1 LE 4.4 First Aid, part 2 $0 (also select 3.4 and 5.4) LE 1.5 Leave No Trace $0 LE 4.5 Leadership Gems $0 LE 1.6 Birthplace Bound $0 LE 4.6 Gem Mining/Sluicing $5 LE 1.7 Iris Folding $5 LE 4.7 Paper Quilling, part 1 $8 LE 1.8 Gemstone Trees, part 1 $7 LE 4.8 Scavenger Hunt $0 LE 1.9 Randy's Birdhouses, part 1 $15 LE 4.9 Climbing Wall $9 LE 1.10 Beginner Archery $5 Session 5 - Saturday 3:30 - 4:30 p.m. Session 2 - Saturday 11:15 a.m. - 12:15 p.m. Course ID and Name Choice # Fee Course ID and Name Choice # Fee LE 5.1 Free Time $0 LE 2.1 Free Time $0 LE 5.2 Camp License, part 5 LE 2.2 Camp License, part 2 $0 $0 (also select 1.2, 2.2, 3.2 and 5.2) (also select 1.2, 3.2, 4.2 and 5.2) LE 5.3 Camp License Renewal, part 3 LE 2.3 CPR, part 2 $0 $0 (also select 3.3 and 4.3) (also select 1.3) LE 5.4 First Aid, part 3 LE 2.4 Walk In My Shoes: Disability $0 (also select 3.4 and 4.4) Awareness And Inclusion In Girl $0 Scouts, part 2 LE 5.5 Coat Hanger Snowflakes $5 LE 2.5 Where Can A Girl Scout Go? $0 LE 5.6 Gem Mining/Sluicing $5 LE 2.6 Girl Scout History Patch $0 LE 5.7 Paper Quilling, part 2 $0 (also select 4.7) LE 2.7 Girl Scout Journeys $0 LE 5.8 What's All The Buzz? $0 LE 2.8 Gemstone Trees, part 2 $0 LE 5.9 Letterboxing/Geo-caching $0 (also select 1.8) LE 2.9 Randy's Birdhouses, part 2 $0 LE 5.10 Advanced Archery $5 LE 2.10 Rock Art $4 Session 3 - Saturday 1 - 2 p.m. Course ID and Name Choice # Fee LE 3.1 Free Time $0 LE 3.2 Camp License, part 3 $0 (also select 1.2, 2.2, 4.2 and 5.2) LE 3.3 Camp License Renewal, part 1 $10 LE 3.4 First Aid, part 1 $20 LE 3.5 Bath Bombs $5 LE 3.6 Ozobots $0 LE 3.7 Cracked Marble Necklace $5 LE 3.8 Nature Center/ Enchanted Lane $0 Participant Name: ___________________________________ LE 3.9 Boating $4
2021 Leaderee Volunteer Learning Event September 18, 2021 | Keyauwee Program Center, Sophia, NC REGISTRATION FORM: COMMEMORATIVES AND PAYMENT No extra commemoratives will be ordered so order now if you don’t want to be left out! Item Indicate size & quantity Price Total 2021 You’re a Gem Short-sleeve T-shirt S ____ M ____ L ___ XL ___ $12.50 2021 You’re a Gem Short-sleeve T-shirt 2XL ____ 3XL ____ $14.50 40th Anniversary Long-sleeve T-shirt S ____ M ____ L ___ XL ___ $14.50 40th Anniversary Long-sleeve T-shirt 2XL ____ 3XL ____ $16.50 Lightweight tote bag $3 Stainless steel Leaderee mug $5 2021 You’re a Gem Charm $2 Leaderee Pin (holds seven charms, includes 2021 charm) $6.50 “My Mom Went to Leaderee” Patch $2.50 Leaderee Neckerchief $4.50 COMMEMORATIVE ORDER TOTAL: Registration Fee: $30 DEADLINES: Plus Workshop Fees: +_______ Scholarship Requests Due: August 2, 2021 Total Registration Fee: _______ Registration Deadline: August 16, 2021 Registration Amount Due: _______ No registrations accepted after August 16, Are you requesting a scholarship? 2021 and no refunds after the registration (enter the amount requested maximum 75% of amount due and attach form) - _______ deadline. Total Registration Amount Enclosed: _______ Commemoratives Total o Cash (do not send in mail) $______________ (if ordering): + _______ o Check (payable to GSCP2P) $______________ o Credit Card $______________ Admin Fee $5 o VISA o Master Card o Discover o American Express GRAND TOTAL ENCLOSED: _______ Credit card information is not accepted via fax or mail. To Don’t let finances keep you from process your credit card payment, please call 800.672.2148 joining us at Leaderee! Remember between 8:30 a.m. - 5 p.m. Monday - Thursday. you can apply for the Ed Whitmire Adult Learning Scholarship Program Fund! See page 3 for more information and for instructions for our online Participant Name: ___________________________________ application process.
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