Register Online

Program Registration

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Out-of-this-world

programs for girls

Refund policy

All fees are non-refundable and non-transferable. Refunds will only be issued or transferred under the following circumstances:

· Injury or sickness documented by your daughter’s physician

(a $20/person processing fee will

be withheld)

· The program is filled

· The program is cancelled

Launching Pad

Out-of-this-world

programs for girls

Program Registration

Please note: Online registration does not guarantee program admission. A confirmation will be sent to you by the program department. Please allow at least seven days for processing.

Please enter credit card information accurately.

Program/Event Name
Month/Day/Year	/ /
Start Time
2nd Choice Program
Month/Day/Year	/ /
Time

Troop Leader/Parent Name
Troop #
Street Address
City, State, ZIP
Phone: Day
Phone: Other
e-Mail Address

Number of Girls
x Registration Fee
+ Number of Adults
x Registration Fee
(Total # of Participants)
+ Membership Fee ($10 per participant if not already registered as a Girl Scout)
= Total Amount Paid
Age Level

Payment Type
Credit Card Number*	---
Credit Card VIN Number
Expiration Date
Name As It Appears On Card
* Please enter your number accurately for billing purposes.