Girl Scout Class Inquiry

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I'm so excited to share my fitness class or wellness workshop with you to help your troop earn a badge!

Please fill out the short form below and I'll be in touch ASAP.

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I understand that by completing this form, I may receive updates about future events, programs, or classes, with the option to opt out at any time.

Email *

What is your name? (First & Last) *

Where is your troop located? *

What is your troop #? *

How old are the girls in your troop? *

5-6

7-8

9-10

11-12

Other:

Required

Which class are you interested in? (check all that apply) *

Girl Scout Empowerment Fitness Class

Mom + Daughter Fitness Class

Wellness Workshop

Required

Please select which option you are interested in. *

1 single class

Multiple class program

Required

How many participants would you estimate for this class? *

Do you have a space to host this class? (if so, please provide address. This will help determine if a travel fee will apply) *

If you do not have a space to host, are you willing to travel? *

Yes

N/A

Do you have a preferred date & time? If so, please share 1-2 dates you have in mind. *

How did you hear about this class? *

Anything else you'd like to share with me? Or questions that you have?

Send me a copy of my responses.

Submit

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