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Girl Scout Interest Form

Please note this is not a registration form. We will use this information to try to place your daughter into a troop. If a troop is not available for your daughter, she may register as an individual (non-troop affiliated) and participate in council sponsored program opportunities.

Note: Information marked with a red asterik (*) are required to process this form.

Girl's Information
Name: *
School: *
Grade: *
Age: *
Prefer troop near: Home     School
Prefer troop to meet:
Sun Mon Tue Wed Thu Fri Sat
Afternoon
Evening
Parent/Guardian's Information
Name: *
E-mail Address: *
Address 1: *
Address 2:
City: *
State: *
Zip Code: *
Day Phone:
Evening Phone: *
Cell Phone:
Was this girl in a troop last year?
The success of the Girl Scout program depends on enthusiastic, dedicated, adult volunteers. Please select one or more areas where you can help:
Troop Leadership (assistant leader, co-leader, leader)
Helping at troop meetings
Other:
If there are any questions you have or special requirements, please let us now here:
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