Click here for registration

Please print out this page and mail it to:
Cheryl Williams
14 Mobile Lane
Crescent City, CA 95531
or email it to : tazwwoman@peoplepc.com


Name:
Address:
City, State, Zip:
Phone:
Email:
Parent/Guardian name and phone:

T-shirt size (Adult sizes only)

Troop #
Level:
Grade:

Girl Scout Leader's name (if applicable):
Leader address:
Leader phone:
Leader email:

Total amount paid:
(some financial assistance is available)
Are you registering as an individual or with your troop?