2019 Leader/Daughter/Cookie Manager Registration Form for Older Girl Troops (Organizers/Volunteers)
When filling out the form, please keep in mind the following:

- Fields with an asterisk (*) are required.

- You will not be able to make changes online once you hit the Submit button. Therefore, please check to make sure all your information is correct BEFORE you click the Submit button.

- After you submit the form, a message will appear. If the screen appears blank, please scroll up to see the message.

If you have registration/payment questions or problems, please send an email to: WayzataSUM@gmail.com
If you have questions about the encampment itself, please send an e-mail to: mnpeterson@comcast.net

Thank you!
Troop Number or Juliette Number *
Your answer
Leader/Mentor #1 First Name *
Your answer
Leader/Mentor #1 Last Name *
Your answer
Leader/Mentor #1 Phone Number *
Your answer
Leader/Mentor # 1 E-mail Address (for future communications) *
Your answer
Leader/Mentor #1; Number of years as a Registered Adult GS Volunteer Member (including this year) *
Your answer
Leader/Mentor #1; Emergency Contact (Name and Telephone Number) *
Your answer
Leader #2 First Name
Your answer
Leader #2 Last Name
Your answer
Leader #2 Phone #
Your answer
Leader #2 Email Address
Your answer
Leader #2; Number of years as a Registered Adult GS Volunteer Member (including this year)
Your answer
Leader #2; Emergency Contact (Name & Telephone number)
Your answer
Total Number of Adults Attending *
Your answer
Girl's Grade *
Girl's Program Level *
Cadette, Senior or Ambassador
Total Number of Girls Attending - 2 Nights *
Your answer
List of Girls Attending 2 Nights
Your answer
Total Number of Girls Attending - 1 Night *
Your answer
List of Girls Attending 1 Night
Your answer
Dietary Restrictions & Allergies *
Please specify ALL dietary restrictions and allergies for the participant. Provide a description in the comments section below of who has the allergy and what reaction will occur if exposed to allergen. If no restrictions/allergies, please check No Restrictions/allergies.
Comments for dietary restrictions (optional)
Your answer
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