Join Girl Scouts - Girl Scouts, San Diego-Imperial Council

Parent's/Guardian's Information
Name:
Address :
City :		State : Zip :
Phone :		() Day () Evening
Email :
I can volunteer:		...as a Troop Leader. ...as a Co-Leader. ...as a Troop Assistant. Other(Please Specify)
Where did you hear about Girl Scouts?:		Flyer/Brochure Radio/TV Event Word of Mouth Other(Please Specify)
Girl(s) Information
Child 1	Name:
	Age:
	Grade:
	School:

Child 2	Name:
	Age:
	Grade:
	School:

Child 3	Name:
	Age:
	Grade:
	School:

Child 4	Name:
	Age:
	Grade:
	School:

Parent's/Guardian's Information