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Girl scout Information Request

 

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Girl's Name:

Parent/Guardian Name:

address

City State ZIP

DAYTIME PHONE:

EVENING PHONE:

SCHOOL:

GRADE:

Date Of Birth:

Age Level of Girl:

Daisy Girl Scout (grades K-1)
Brownie Girl Scout (grades 2-3) 
Junior Girl Scout (grades 4-6)
Cadette Girl Scout (grades 7-8)
Senior Girl Scout (grades 9-10)

ambassador Girl Scout (grades 11-12)
 

 For K and 1st grade girls.  When it is time for your daughter to go into the 2nd grade, what school will she be attending. 

BEST TIME TO BE CONTACTED:

ARE YOU:

PARENT/GUARDIAN
GIRL
EMAIL ADDRESS: