Program Guide Fall 2013 | Page 12

GIRLS
1
Registered
to Troop #
( 5 digit #)
First & Last Name
Address / Phone
Grade
T-shirt Size *
2 3 4 5 6 7 8 9 10 11 12 13 14 15
ADULTS
1 2 3 4 5
Registered
to Troop #
( 5 digit #)
First & Last Name
Address / Phone
First Aid / CPR Certified Yes / No
T-shirt Size *
Special Needs – please list any special needs ( dietary , activity restrictions , etc .) you would like to make event planners aware of before the program .
Name / troop will automatically be placed on a wait list if the event is full . Adult contact will be notified of wait list status and if spots open up . Remember to bring Health and Permission Cards for each girl attending this event . * T-shirt not included for all events . Sizes : YS-Youth Small , YM-Youth Medium , YL-Youth Large , AS-Adult Small , AM-Adult Medium , AL-Adult Large , AXL-Adult Extra Large , AXXL-Adult 2X
Revised 7 / 2 / 2013

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