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Please complete all required fields below (* required)

*Girl's Name: *Age: *Grade:
*Parent or Guardian's Name:
*Address: *City: *Zip:
*Primary Phone: xxx-xxx-xxxx Secondary Phone: xxx-xxx-xxxx
*Email Address:
Best time to call: Morning   Afternoon   Evening *County:
*School she attends: *School closest to home:
*School District:
*I would prefer to be contacted by: Email   Phone call
With your daughter, determine which pathway suits her interest. Please check all that apply:
Camp - Experience the great outdoors at overnight or day camp.
Events - Come on your own or with a friend to events centered on topics that interest you.
Series - Explore your interests in a series of activities without committing to a full year.
Travel - Travel across town, throughout the country, or around the world.
Troop - Participate in exciting activities that last throughout the school year.
Virtual - Coming soon! Interact online with other girls and volunteers in a safe, secure environment.

How often can she be involved?

Once a week Once a month Quarterly Other


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