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Girl Scout's name
If between grades, list the grade the Scout will be in at the start of the next school year.
Daisies, Brownies, Girl Scouts, etc.
Activities & Programs Registering For (Check all that apply)
Parent/Guardian Name
Permission & Agreement
I give the Girl Scout stated here permission to attend this camp pursuant to all the terms and regulations that apply.
I agree to the following charge
Le champ Carte bancaire est désactivé, les clés Stripe sont manquantes.