Badge Resource Kit Request
Name
*
First Name
Last Name
Email
*
example@example.com
Troop Number/Juliette
Date Needed By? (Pick Up)
*
-
Month
-
Day
Year
Date
Date Needed Through? (Turn In)
-
Month
-
Day
Year
Date
Will you, personally, be picking up the kits/supplies?
*
Yes
No
If No, who will be picking up kit?
First Name
Last Name
As the requester, I agree to the following terms:
*
Take responsibility for these items and bring them back in the condition recieved.
If items are damaged, or lost, or broken I agree that our troop or I will replace or repair the item(s).
To reach out and let the council know if I will be late in returning or if I have any other issues with the items.
Which kit(s) would you like to request?
About how many girls will be using the kit?
Anything else you'd like to ask or let us know?
Submit
Should be Empty: