Junior Journey Day (Friday) 2/10/2017 Agent of Change
Please do the following:
1. Fill out this form and be sure to click "SUBMIT" at the bottom (you will receive a confirmation). If you are registering more than 12 girls; please list the remaining girls in the 12th spot.
2. Proceed to the Paypal Shopping Cart and pay for the Troop (One transaction is appreciated); OR,
3. Make other arrangements with the SUM (Checks are accepted; however, need to be delivered to the SUM by registration deadline).
4. Show up with your "Safetywise" number of registered Volunteers and plan to have fun!

*Note that items with "*" are required. (Use N/A if need be.)
*Note that if you have a question about "Safetywise" numbers or only have one Leader able to attend, please contact the SUM.

Any other questions, please contact the Coordinator, Audrey Fresh, at Audrey@TheFreshFamily.com or Deb at WayzataSUM@gmail.com.
Troop #: *
Your answer
Grade(s): *
Required
Number of Leaders/Registered Volunteers attending (For example "2"): *
Your answer
Leader/Registered Volunteer #1 that will attend with the girls (For example: "Sue Jones - Leader" or "Sue Jones - Registered Volunteer"): *
Your answer
E-mail Address for Leader/Registered Volunteer #1: *
Your answer
Telephone number for Leader/Registered Volunteer #1: *
Your answer
Leader/Registered Volunteer #2 that will attend with the girls (For example: "Sue Jones - Leader" or "Sue Jones - Registered Volunteer"): *
Your answer
E-mail Address for Leader/Registered Volunteer #2: *
Your answer
Telephone Number for Leader/Registered Volunteer #2: *
Your answer
Leader/Registered Volunteer #3 that will attend with the girls (For example: "Sue Jones - Leader" or "Sue Jones - Registered Volunteer") (If applicable):
Your answer
E-mail Address for Leader/Registered Volunteer #3:
Your answer
Telephone for Leader/Registered Volunteer #3:
Your answer
Number of girls attending (For example "4"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Girl Scout attending (For example: "Amy Jones"):
Your answer
Allergies (For Example: "Amy Jones - Gluten"):
Your answer
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