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Grand Prix 2021 (currently postponed due to venue cancellation)
Event Timing: TBD
Event Address: Muriel H. Morabito Community Center, 29 Westbrook Dr, Cortlandt Manor, NY 10567
Cost: $12, ( includes the car kit, race and patch)
Questions/Contact us:
Kelly@westlakelandgirlscouts.com
,
Maureendeliaconnolly@gmail.com
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Email
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Your email
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Your Name
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Phone number (xxx-xxx-xxxx)
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Troop number (if looking to join a troop, please put that)
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Your answer
Which time is best for your group. (We are planning 4 sessions to promote social distancing) *times subject to change based on enrollment.
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10am-11:00pm (Cadette Girl Scouts and up)
11:00am-12:00pm (Daisy Girl Scouts)
12:00pm-1:00pm (Brownie Girl Scouts)
1:00pm-2:00pm (Junior Girl Scouts)
How Many Girls are you registering today?
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1
2
3
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5
6
7
8
9
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12
more then 12
Names of Participating girls (First Last, First Last, First Last)
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Name of All Participating Adult Chaperone(s) (if applicable)
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Emergency Contact ( Name of individual NOT attending the event)
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Emergency Contact phone number
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I acknowledge and give/have permission for my child/troop to participate in this activity. If you are registering for your troop, please make sure you gather all required permission slips, and forward copies of COVID waivers and Daily Activities questionnaire to
Kelly@westlakelandgirlscouts.com
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yes
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Payment method, Please SUBMIT FORM, (then make payment) $TBD per girl (Fun PATCH INCLUDED),
Paypal to "
https://www.paypal.me/WestLakelandgs
(please make sure to choose friends and family) we will not accept PayPal fees.
Check payable to "West Lakeland Girl Scouts"
Google Pay,
pay@westlakelandgirlscouts.com
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