Northern Lakes Canoe Base Interest Form
Please share your contact information, and we'll keep you informed on trip registration dates and important notices.  Please share any details you can about yourself/group that might help us fit you into the trip schedule.  

Your information will only be shared with Girl Scouts Lakes and Pines staff and trip planning volunteers in the Northern Lakes Canoe Base Alumni Association. 

You will receive a confirmation email with a copy of your responses when you submit this form. 
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Email *
First Name *
Last Name *
Mobile phone number
If you prefer text communication, please share your mobile number.
Your location (state or Girl Scout council)
What length trip interests you?
See our website at https://nlcbaa.org/AboutOurTrips for trip descriptions. 4-11 day trips are for Girl Scouts age 12 and up.
When will you be ready to travel?
Clear selection
How many participants might be in your group?
This is just for our planning purposes. Just make your best guess.
Clear selection
How old will your participants be at the time of their trip?
Choose as many as apply. 
How did you hear about us?
Comments, Questions, or Concerns?  
A copy of your responses will be emailed to the address you provided.
Submit
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