GIRL SCOUTS - GREAT RIVERS COUNCIL, INC.

REQUEST A WORKSHOP FORM

Use this form to request a workshop.  You will be contacted within two weeks after this form is received at the Girl Scout Center. 

Name:   E-mail address:

Address:    City:    State: Zip:

Home Phone #:   Work Phone:   Cell Phone:

Service Unit Name:   Service Unit Number:

Is this a new address?    Girl Scout Position:

Topic:  Please select 1/form:

 

Requested date for workshop: Alternate Date:

 

Length of Workshop: Starting Time: (please specify a.m. or p.m.)

 

Describe the audience:  How many: Experienced?    

 

Detailed location for the workshop: