* 1. Fill out the following information to request the Early Bird patches and rockers for your troop.

* 2. The combined total number of patches and rockers requested must equal the number of girls who Early Bird registered for the 2013 year. For this 100th Anniversary year only, new girls can earn an Early Bird patch and a rocker if they register online by July 8, 2012. If a girl received an Early Bird patch for the 2011-2012 year, she is eligible to receive a rocker.

* 3. I acknowledge that our troop has girls that qualify for the Early Bird patch or rocker because they registered for the 2012-2013 Girl Scout year before July 8, 2012.