Girl Scouts Of Western Washington Special Camp Session Registration Form (Page 2 of 2) in pdf

Girl Scouts Of Western Washington Special Camp Session Registration Form Page 2

Special Camp Session Registration Form (side 2)

Please print the names of ALL attendees below:

Name

Child

DOB

Adult

Email address for confirmation & camp information

M / F

Girl Scout Membership Registration (One per person please. Additional Membership forms can be found at

Complete ONLY if not currently a registered Girl Scout for the 2015-2016 membership year. (10/1/15 - 9/30/16)

I give permission for my daughter/ward, ______________________________________ to join Girl Scouting. I have included my

$15 membership fee in addition to the session fee with this registration and understand that membership fees are sent to the

GSUSA national organization and cannot be refunded or transferred.



New Member

Re-registering Member

School_____________________________________________ in City____________________________________________

Parent/Guardian Signature _________________________________________________Date_________________________

Girl Scouts Of Western Washington Special Camp Session Registration Form Page 2