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Troop Location

Bailey (troops 1187, 2064, 8292)

Elsewhere

Girl Scout Name *

Troop *

Level *

Parent Information

Parent/Guardian Name *

Daytime Phone *

Cell Phone

Email Address *

Emergency Contact

DO NOT just repeat the same information - please indicate who else we can contact if we cannot get ahold of you.

Name *

Day Phone *

Cell Phone

Relationship *

Is there anyone who is NOT allowed to pick up your girl?