Younger Youth Retreat Registration 2021 - Oakwood Restoration Branch

Girl Scout's name *

First

Last

Girl Scout's date of birth *

What grade is the Girl Scout in? *

If between grades, list the grade the Scout will be in at the start of the next school year.

What level is the Girl Scout? *

Daisies, Brownies, Girl Scouts, etc.

Number of previous camps attended

Activities & Programs Registering For (Check all that apply)

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Permission & Agreement *

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

I agree to the following charge *

Stripe Credit Card *

Credit Card field is disabled, Stripe keys are missing.