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Girl Interest Indicator Form

I WOULD LIKE TO BECOME A GIRL SCOUT:
Name of Girl:
Street:
Grade:
School:
Previous Girl Scout - When?:
Where?:

Parent/Guardian Information:
Name:
Phone Numbers:  Best time to Call:
(Home):
(Work):
(E-mail address):  

HOW DID YOU HEAR ABOUT GIRL SCOUTING?:

School FlyerNewspaper ArticleNewspaper Ad
Bus Panel TV/RadioFriend
Community Fair PostersOther:

 
 
 
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