TRAINING REGISTRATION FORM Submit Form To:
Program Registrar Girl Scouts of Greater Chicago and Northwest Indiana Lisle Gathering Place, 2400 Ogden Avenue, Lisle, IL 60532 or Fax 630-544-5999
Name:
Address:
City:
State:
Zip:
Day Phone:
Eve. Phone:
Current Volunteer Status: New Experienced Cell Phone:
E-mail address (Please PRINT): I prefer to receive confirmations via E-mail or Postal mail Volunteer Position: Troop Number:
Service Unit:________________________________________________________________________
Course #/Title:
Date:
Location:
Course #/Title:
Date:
Location:
Course #/Title:
Date:
Location:
Course fee enclosed (if applicable): $
Make checks payable to Girl Scouts GCNWI.
Credit Card Number:
Type: MC Visa Discover Expiration:
Signature:
Special accommodations:
Registrations are accepted on a first-come, first-served basis. If class is filled before listed deadline, you will be notified.
TRAINING REGISTRATION FORM
Submit Form To:
Program Registrar Girl Scouts of Greater Chicago and Northwest Indiana Lisle Gathering Place, 2400 Ogden Avenue, Lisle, IL 60532 or Fax 630-544-5999
Name:
Address:
City:
State:
Zip:
Day Phone:
Eve. Phone:
Current Volunteer Status: New Experienced Cell Phone:
E-mail address (Please PRINT): I prefer to receive confirmations via E-mail or Postal mail Volunteer Position: Troop Number:
Service Unit:________________________________________________________________________
Course #/Title:
Date:
Location:
Course #/Title:
Date:
Location:
Course #/Title:
Date:
Location:
Course fee enclosed (if applicable): $
Make checks payable to Girl Scouts GCNWI.
Credit Card Number:
Type: MC Visa Discover Expiration:
Signature:
Special accommodations:
Registrations are accepted on a first-come, first-served basis. If class is filled before listed deadline, you will be notified.
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