November 11th Day Off Registration
Please register your student by completing the form below completely. If you have additional siblings, please fill out a form for each sibling. You may pay 3 ways now: square - http://my-site-101001.square.site/ +$2 process fee, or NEW Venmo: @GirlScout-Troop-40333 (no additional cost), or mail in check. $50 first student, $40 additional siblings.
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Email *
Student's First and Last Name: *
Gender *
Grade in School *
Name of School Attending: *
Emergency Contact NAME of Parent: *
Parent's cell phone/best number to reach: *
List any food allergies:
Method of Payment: *
Are you registering a sibling, and if yes, their name and grade? Please register them on additional forms.
Is there a friend he/she would like to be in the same group? Name?
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