Once you have completed this survey, you will receive a certificate by email within 4 weeks. Bring your certificate to either the Holyoke or Worcester Girl Scout Leadership Center to receive your free badges!

Each girl may earn only one free badge each Girl Scout membership year.

Please note, a total of 1500 badges are available this year. Once we have reached that number, this survey will close.

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* 1. Troop Leader/Guardian's Name

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* 2. Troop Leader/Guardian Email:

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* 3. Troop # 

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* 4. Number of girls in troop who earned badge. (Note: The troop needs to complete only one survey as a whole. Every girl does not need to complete the survey in order to get her badge.)

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* 5. Town

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* 6. County 

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* 7. Program Level

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