GS Museum Workshop Request Form

Workshop Request Form

Girl Scout Museum at Daisy's Place
The cost for the class is $10 per person. 10 girl minimum for programs.
Troop #*
Service Unit*
# of Girls*
# of Adults*
DaisyBrownieJuniorCadetteSeniorAmbassadorVolunteers Only
Volunteer's Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
1st Choice (programs run 2 hours)*
2nd Choice (program runs 2 hours)*
Girl Scout Songs and GamesGirl Scout Ceremonies and TraditionsFlag CeremoniesGirl Scout Way BadgeFirst Aid Badge (D/B/J)Junior Playing the Past BadgeCoat of Many Colors PatchKnot tying and how to use knots
Meeting location

Name of location

Street Address

CityState / Province

Postal / Zip Code
Additional comments
Should be Empty: