Event Registration Form

Event Event Date Troop #  Service Unit Age Level:  DY BR JR CD/SR Address E-mail Address: Phone:  Day   Evening Please send me directions to the event If attending as a TROOP, Leader's Name If attending as an INDIVIDUAL Girl Scout: Girl’s Name Parent’s Name

**PLEASE BE SURE TO FILL OUT PARENT PERMISSION FORM FOR INDIVIDUAL GIRL ATTENDANCE. (Click here for Form)

IF APPLICABLE

Morning Session  Afternoon Session    Bus Pick-up Location Preferred  T-Shirt Size Other No. of Girls attending X $ = $ No. of Adults attending at no charge (As per Safety-Wise adult/girl ration) No. of Adults attending with charge    X $ = $ Total Enclosed = $

**After you submit this form, please print it out and send it along with any money required

Mail form and fees to: GS -CBAC P. O. Box 303 Dexter, MO 63841

Checks and money orders are to be payable to: Girl Scouts-Cotton Boll Area Council