Girl Scout Programming

Name*

First NameLast Name

Email*

example@example.com

Mobile Phone Number*

Please enter a valid phone number.

Number of Girl Scouts*

Troop Number*

Grade Level*

Please select program or activity below:

Location*

Suggested Location

I hereby grant permission to Speaks for Trees and More and/or Fox Island County Park to use photographs and/or video taken during this event in publications, news releases, online, and other communications.*

I, legal guardian of child(ren) listed above, authorize Speaks for Trees and More and Fox Island County Park to seek, obtain, and consent to emergency medical care & treatment as deemed necessary by a medical professional.*

I hereby release, Speaks for Trees and More and Fox Island County Park from any and all damages, injuries, causes of action which may accrue to or be asserted by me or any registered child(ren) arising directly or indirectly from registered child(ren)’s participation in any Girl Scout program or activity.*

I certify that I have collected the required Annual Permission and Health History Form from every Girl Scout attending. I will retain for the duration of the registered program or activity, releasing Speaks for Trees and More and Fox Island County Park from responsibility of distribution and collection.*

My Products

Program Fee/Girl ScoutIncludes all supplies, entrance fees, badge or fun patch and any applicable certificates.

$12.00 Please update quantity to reflect total Girl Scouts participating.
Item subtotal:$0.00

Total

$0.00