GS Interest Form

GIRL INTEREST INDICATOR Form

Please use upper and lower case; do not CAPS Lock. Thank you.

I am interested in Girl Scouting. GIRL Interest Indicator Form
Girl's First Name:
Middle Name
Last Name:
Street:
City:
State:		Zip Code:
County

Parent E-Mail
Parent or Guardian Name:
Parent Day Phone:	(000-000-0000)
Parent Evening Phone:	(000-000-0000)
Parent Cell Phone:	(000-000-0000)

Birth Date:	(MM/DD/YYYY)
Age:
School Grade:			(2008-2009 school year)
Current School:

1^st Choice for a Troop Meeting Day:
1^st Choice for a Troop Meeting Time:
1^st Choice for a Troop Meeting Locations:

2^nd Choice for a Troop Meeting Day:
2^nd Choice for a Troop Meeting Time:
2^nd Choice for a Troop Meeting Locations: