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PLEASE PROVIDE US WITH THE INFORMATION BELOW, AND WE WILL CONTACT YOU WITH INFORMATION ABOUT POTENTIAL TROOP OPENINGS IN YOUR AREA.

PARENT'S INFORMATION (*required fields)

FIRST NAME* LAST NAME*

HOME ADDRESS*

CITY*

STATE* ZIP*

DAYTIME PHONE*

EVENING PHONE*

EMAIL*

Please contact me about leading or co-leading a troop.

GIRL'S INFORMATION:

FIRST NAME* LAST NAME* SCHOOL* GRADE*
FIRST NAME LAST NAME SCHOOL GRADE

THREE ADDITIONAL SCHOOLS NEARBY:


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