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Hispanic Heritage Reading Challenge
Parent/Guardian Name
*
First Name
Last Name
Shipping Address for Patch
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Email
*
example@example.com
Parent/Guardian Daytime Phone
*
Please enter a valid phone number.
Girl Name
*
First Name
Last Name
Girl Scout Level
*
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Town of Residence
*
Troop Number
*
Do you identify as Hispanic?
*
Yes
No
Title of Book #1:
*
Give a short summary of the book:
*
0/100
What did you like most about the story?
*
What did you like least about the story?
*
Title of Book #2:
*
Give a short summary of the book:
*
0/100
What did you like most about the story?
*
What did you like least about the story?
*
Submit
Should be Empty: