Girls Scouts of Northern Illinois
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1.
Name of Requestor
(Required.)
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2.
Email address:
(Required.)
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3.
Phone number:
(Required.)
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4.
Troop name:
(Required.)
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5.
Troop meeting address:
(Required.)
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6.
What is the age range of your troop?
(Required.)
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7.
Do you have a timeline in mind for scheduling the session?
If yes, please share potential dates, times.
If no, please write TBD.
(Required.)
8.
Questions or comments:
Please include if you'd prefer a facilitator that is bilingual and what language is preferred.