Mission Moments Form
Files types accepted are pdf, html, zip, mp3, mpg, flv, avi, jpg, jpeg, png, and gif. If you have any issues uploading a file, they may also be emailed to customercare@nmgirlscouts.org.
Name of Person Submitting
*
First Name
Last Name
Email
*
example@example.com
Which of the following options best describes the content of your submission?
Mission Moments (a glimpse into your Girl Scout journey)
Myth Madness Makeover Patch Design Submission
Take Action or Community Service Project
Hometown Heroes (MagNut & Cookies)
Travel/Destinations
Camp/Outdoors
Volunteer/Girl Training
Other
Troop # or Juliette
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Who Took The Photo/Video(s)
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First Name
Last Name
Girl Scout Level (Girl or Adult) of the Individual That Took The Photo/Video(s)
Please Select
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Volunteer
Lifetime Member or Alum
Family Member
GSNMT Staff
When was this photo/video taken (month and year)?
Describe what's happening in the photo(s)/video(s):
*
Ex: "Troop 1234 on their hiking trip in the Bosque to work on their Animal Habitats Badge" or "Susie working on her Bronze Award Project for Animal Humane"
Girl Scout Level (Girl or Adult) of photograph/video subject(s)
Please Select
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Multi-level
Volunteer
Lifetime Member or Alum
Family Member
GSNMT Staff
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I confirm that I have received permission from the subjects in my photo(s) to share with Girl Scouts of New Mexico Trails.
*
I confirm
All subjects in my photo(s) permit release of their name and image for public relations and publicity purposes.
*
I confirm
I give my permission for Girl Scouts of New Mexico Trails to credit me by name and use my photo(s) on their social media channels and/or website.
*
I confirm
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