Girl Scouts Program Request Form
To request a program for your Scout Troop or group, please complete this form at least two weeks in advance of your preferred date.

Please note that this request is not a confirmation that your program will be booked. Once San Diego History Center receives this request you will be contacted by staff to confirm a date and time.

Requestor's Last Name *
Your answer
Requestor's First Name *
Your answer
Requestor's Phone Number *
Your answer
Requestor's Email Address *
Your answer
Lead Adult on Day of Program *
Your answer
Lead Adult Phone Number *
Your answer
These are... *
Required
Total Number of youth participants *
Your answer
Total Number of Adults (teachers, aides, and chaperones) *
Your answer
Troop Number *
Your answer
Which badge or Journey connection are you interested in? *
Your answer
First Choice Date
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/
DD
/
YYYY
First Choice Time
Time
:
Second Choice Date
MM
/
DD
/
YYYY
Second Choice Time
Time
:
Please tell us if you need to book on the same day as another teacher, if your students have special needs, etc.
Your answer
Any additional notes?
Your answer
How did you learn about Girl Scout Programs at SDHC? *
Required
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