Girl Scouts Nation's Capital Accommodations Request Form
1. Name of Requester
*
First and Last
2. Email Address
*
3. Phone Number
*
5. Troop Number
*
Date
*
-
Month
-
Day
Year
Date
Type of assignment ( Troop Meeting, Service Unit Meeting, Training, Etc)
*
Troop Meeting
SU Meeting
Troop Activity
Training
Camping Trip
Troop event
Other
Name of speakers and languages used
*
4. Member Name(s) Requiring Service
*
First and Last
Will the member requiring service be presenting
*
Yes
No
Please provide helpful information to describe the role of the interpreter during the event. i.e What activities will be occurring? Who will the main interactions be with? [ girls, adults, other members of the public]?
*
11. Requested Dates
*
-
Month
-
Day
Year
Date
Requested Time - Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Requested Time - End Time
*
Hour Minutes
AM
PM
AM/PM Option
Requested Location
*
Home
School
Outdoors
Other
Requested Location - Address
*
Submit
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