Girl's Name:
*
First Name
Last Name
Girl's Grade:
*
Name of school:
*
Parent/Caregivers Name:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Which date and location will you be attending?
*
1/15/26 - Otsego Public Library in Gaylord
1/22/2026 - First Presbyterian Church in Petoskey
1/24/2026 - Camp Woodlands in Alpena
1/29/2026 - Camp Woodlands in Alpena
Is girl a current Girl Scout?
*
Yes
No
Submit
Should be Empty: