Girl Scouts NOW! Survey

Due to low registration, the following programs have been cancelled:
Mad Science at Camp Ilchester (May 12th)
Snap Bubble Pop at Camp Woodlands (May 15th)
Snap Bubble Pop at Carroll County Library, Mount Airy Branch (May 22nd)

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1. Which event would you like to register for?

Which event would you like to register for? Snap Bubble Pop - Wednesday, May 16 (previously listed as Thursday, May 17) (Sollers Point Multi-Purpose Center)

All American Girl - Saturday, May 19 (Harford County)

Other (please specify)

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2. Girl's First Name:

Girl's First Name:

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3. Girl's Last Name:

Girl's Last Name:

4. Birth Date:

Birth Date:

5. Grade:

Grade: K

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6. Address:

Address:

7. City, State, ZIP:

City, State, ZIP:

8. School:

School:

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9. Parent/Guardian's First Name:

Parent/Guardian's First Name:

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10. Parent/Guardian's Last Name:

Parent/Guardian's Last Name:

11. Parent's Work Phone:

Parent's Work Phone:

12. Parent's Cell Phone:

Parent's Cell Phone:

13. Parent's E-mail:

Parent's E-mail:

Registration Payment: Please bring cash or a check (made out to Girl Scouts of Central Maryland) to the actual event that you are registering for. Thank you!