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Event Signup: 8TH ANNUAL Girl Scout “WINTER SURVIVAL TRAINING” (Jan 04 2019)
First Name:*
Last Name*
GS Level*
Cadette
Senior
Ambassador
Adult (Female)
Adult (Male)
Troop #*
Troop Town, State
How many times have you attended in the past*
0
1
2
3
4
5
6
7
Which learning track would you like to attend:
Parents Email Address*
Emergency Contact Name*
Emergency Contact Cell Phone Number*
Medical Issues or Food Allergy or Restriction:*
Allergic to a Certain Food
Vegetarian
Gluten-Free
Other Medical Issue
None
Long-Sleeve T-Shirt Size (size up if unsure)*
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX
Adult XXX
Medical Issue? (If applicable)
Allergy or Food Restriction:

Confirmation, Payment and Packing List will follow when you complete this form. Payments are due by December 1 to secure your spot, otherwise it will be cancelled. Please be sure to pay by December 1, 2018
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