Name (Last, First):  
Address:
 
City,State/Zip: ,/
Phone:
School:
Age:
Grade:
Birth date (mm/dd/year): //
Parent/Guardian Name (Last, First):  
E-mail:
Girl Scouting is a volunteer organization. All parents are expected to help out in some way, e.g. snacks, chaperoning, paperwork, etc., but the most important way is to become a leader. Please consider the difference YOU could make as the leader of your daughter's troop!

I would like to be a leader/co leader
I would like to be an assistant leader
I would like to be a helper to my leader (taking on small jobs)
I would like more information before committing to be a leader
Sorry, but I cannot help at this time

Most troops meet once a week or every other week. What times could your daughter attend? Check all that apply.
  Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Morning






Afternoon






Evening






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