SJ Girl Scouts Registration

* Indicates required field

Where are you a registered parishioner? *

Girl Scouts Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

D.O.B. MM/DD/YYYY *

Current Age *

School Attending *

Current Grade *

Teacher's Name *

Is your scout re-registering? *

Yes No

If yes, previous troop #1 *

Name of Parent/Guardian Name *

First

Last

Primary Phone *

Primary Email *

Best time to reach you: *

Morning Afternoon Evening

Girl scouting relies on volunteers to deliver the program. Get involved in the lives of your children today so they will have a better future tomorrow. Please remember, in order to form a new troop, volunteers are required for troop leadership.

Would you be willing at assist as ... *

Troop Leader Assistant Leader Adult Helper

Comment *

Submit

Girl Scouts of Western Ohio - 4930 Cornell Rd., Cincinnati, OH 45242-1804
513-489-1025 or 1-800-537-6241 - FAX: 513-489-1417 - www.girlscoutsofwesternohio.org

St. John Girl Scouts Interest Form

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