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Legal Name *

First

Last

Date of birth *

What's Your Level of Education? *

Country of Residence *

Daisies, Brownies, Girl Scouts, etc.

Address *

Include, State and City (Street and house number if available)

Email Address *

Enter a valid email address

Phone Number *

Whatsapp Phone Number (Option)

Parent/Guardian Name (Optional)

First

Last

Parent/Guardian Email(Optional)

Parent/Guardian Phone (Optional)

Permission & Agreement *

I give the Girl Scout stated here permission to attend this camp pursuant to all the terms and regulations that apply.

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