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Program opportunities

 

Launching Pad

Out-of-this-world

programs for girls

 

Program Registration

Please note: Online registration does not guarantee program admission. A confirmation will be sent to you by the program department two weeks prior to program.

Please enter credit card information accurately. 

Program/Event Name

Month/Day/Year

/ /

Start Time

2nd Choice Program

Month/Day/Year

/ /

Time


Troop Leader/Parent Name

Troop #

Street Address

City, State, ZIP

Phone: Day

Phone: Other

e-Mail Address


   Number of Girls

   x Registration Fee

   + Number of Adults

   x Registration Fee

(Total # of Participants)

+ Membership Fee ($10 per participant if not already registered as a Girl Scout)

   = Total Amount Paid

Age Level


Payment Type

Credit Card Number*

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Credit Card VIN Number

Expiration Date

  

Name As It Appears On Card

* Please enter your number accurately for billing purposes.

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