2023 National Night Out Scout Request Form
Our team has a select number of Scout and Daisy costumes available to National Night Out events in 2023. They will be available on a first come, first serve basis. Scout is a golden retriever mascot for the Associa Supports Kids program. Daisy is the mascot for our Associa Green program. You will NOT get to choose which mascot you receive for your event. Please use this form to sign up to receive a Scout or Daisy for your event. You are NOT guaranteed a mascot just by filling out this form. If you are selected to receive a Scout or Daisy, an external affairs team member will reach out via email to confirm shipping information prior to your event. Note: Home Office covers the cost of shipping Scout or Daisy to your event. You must pay for the return shipping.
Your Name
*
First Name
Last Name
Branch Name
*
Your Role - NNO coordinator, community manager, or other (please specify)
*
NNO Event Date
*
Please Select
August 1st
October 3rd
How many children are you expecting at the event?
*
Name of community hosting NNO event.
*
Shipping Information
Please provide banner shipping information below.
Recipient Name
*
First Name
Last Name
Recipient Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Recipient Phone
*
Please enter a valid phone number.
Recipient Email
*
example@example.com
Submit
Should be Empty:
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