High School Service Troop

Girls in 9-12th grade What: Volunteer in the community with your friends to make a difference. Girls will decide where to volunteer. Ex: humane socie-ty, soup kitchen, working with the elderly, gardening, etc. When: First meeting: Friday, September 16th 6:00 p.m. Troop will plan one service project per month; dates/times TBD. Where: First meeting: 140 Salem Drive Owensboro, KY 42303

Cost: $25.00 per girl, includes Girl Scout membership & supplies. _______________________________________________________________

Postmark Deadline to Register: September 2 Mail to GSK 140 Salem Drive Owensboro, KY 42303

For Office Use only: Date: ___________ Receipt #: _________

Have you been a Girl Scout before?

____No _____Yes, if yes, what year(s)________

In an effort to ensure that we are serving all girls, we encourage you to provide the following

information on racial background and ethnicity for program participants:

____American Indian or Alaskan Native ____Asian ____Black or African American

____ Hawaiin or Pacific Islander ____ White ____ Hispanic or Latina ____Other

Girl Name: Parent Name:

EMAIL ADDRESS:

Mailing Address: City: Zip:

School Name:

Grade Level:

Day Phone Number: Cell Phone Number:

Number of girls registering x $25.00= ______ TOTAL _________