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Girl Scouts -- Coterie Workshop
Registration Form
THE COTERIE
2450 Grand Blvd., Ste. 144
Kansas City, MO 64108
www.thecoterie.org
816-994-8832
*Required Information
SCOUT INFORMATION
Are you registering one scout or your whole troop?
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One Scout
Whole Troop
How many scouts will you have attending?
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Please list each scout by first and last name:
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TROOP LEADER CONTACT
First Name
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Last Name
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Email Address
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Cell Phone (use dashes XXX-XXX-XXXX)
Street Address
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City
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State
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Zip Code
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SCOUT INFORMATION (One scout per form)
First Name
*
Last Name
*
PARENT/LEGAL GUARDIAN
First Name
*
Last Name
*
Relationship to Scout
*
Mother
Father
Legal Guardian
Email Address
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Enter again to confirm
*
Street Address
*
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Cell Phone (use dashes XXX-XXX-XXXX)
Landline [Home] Phone (use dashes)
Girl Scout Workshop Sessions
GIRL SCOUT WORKSHOP SESSION - $12/scout
"Dance Like Rudolph the Red-Nosed Reindeer"
Dance Like Rudolph the Red-Nosed Reindeer | Wednesday, November 29th, 2023 | 4:30-6:00pm
(0 remaining)
Dance Like Rudolph the Red-Nosed Reindeer | Wednesday, November 29th, 2023 | 6:30-8:00pm
(0 remaining)
Dance Like Rudolph the Red-Nosed Reindeer | Thursday, November 30th, 2023 | 4:30-6:00pm
Dance Like Rudolph the Red-Nosed Reindeer | Thursday, November 30th, 2023 | 6:30-8:00pm
(0 remaining)
GIRL SCOUT WORKSHOP SESSION - $12/scout
"Rock 'n' Roll Mole Rat"
Rock 'n' Roll Mole Rat | Wednesday, April 10th, 2024 | 4:30-6:00pm - SOLD OUT
Rock 'n' Roll Mole Rat | Wednesday, April 10th, 2024 | 6:30-8:00pm
Rock 'n' Roll Mole Rat | Thursday, April 11th, 2024 | 4:30-6:00pm
Rock 'n' Roll Mole Rat | Thursday, April 11th, 2024 | 6:30-8:00pm
PAYMENT
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