Kindergarten Summer Scout Meetings

Kindergarten Girl Scout Summer Meetings

Please complete this short registration for your daughter to participate in Girl Scouts this summer. You will receive a confirmation e-mail with additional information once you've completed the registration.

Question Title

* 1. Child's First Name

Question Title

* 2. Child's Last Name

Question Title

* 3. Child's Age

Question Title

* 4. Child's Date of Birth

Date of Birth

Date

Question Title

* 5. Child's Address

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Question Title

* 6. School Attending (2011-2012)

Question Title

* 7. School Location

Other (please specify)

Question Title

* 8. Grade (2011-2012)

Question Title

* 9. Is your daughter currently registered in Girl Scouts?

Yes

Question Title

* 10. If your daughter is currently in Girl Scouts, what is her troop number?

Question Title

* 11. Parent/Guardian Contact Information

Name:

Email Address:

Phone Number:

Question Title

* 12. Parent/Guardian Contact Information

Name:

Email Address:

Phone Number:

Question Title

* 13. My child is in the custodial care of:

Both Parents

Mother Only

Father Only

Other (please specify)