Girl Scout Registration

PAYMENT IS REQUIRED ONE WEEK BEFORE CLASS

ARE YOU PARTICIPATING IN THE 2 HOUR OR 4 HOUR PROGRAM? * *

2 HOUR PROGRAM WITH NO LUNCH 4 HOUR PROGRAM WITH LUNCH (COOKING CLASS IF APPLICABLE)

TROOP LEADER NAME * *

First

Last

Email *

CELL NO. * *

ADDITIONAL TROOP LEADER NAME (IF ANY) *

First

Last

EMAIL *

CELL NO. *

LIST ALL GIRL SCOUTS BY LAST NAME, FIRST NAME *

LIST ALL ADULTS (EXCLUDING TROOP LEADERS) BY LAST NAME, FIRST NAME *

LIST ALL FOOD ALLERGIES (IF APPLICABLE) *

Submit

Support Asha's efforts to end animal abuse through
direct rescue and rehabilitation.

Asha's Farm Sanctuary
2969 Coomer Road
Newfane, New York 14108