Girl Scout Registration Form
RequiredRequired Question(s)
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.
 
Requested Party Date
 
- Please call to see if your desired date and time is available - (908) 232-3411.
- You MUST verbally reserve* your party time slot before sending your deposit.
* By submission of this form alone, we cannot ensure that your desired date is available.

 

 

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3.

Requested Girl Scout Event Time

 

*Other option is only for previously discussed times 

3:30PM-5:00PM
3:30PM-5:30PM (two hour parties only)
4:00PM-5:30PM
Other  
Required 4.

Girl Scout Level

(Daisy, Brownie, Juniors, Cadettes) 

 

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Required 5.

Troop Number/Council Name 

 

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Required 6.

Age range of group 

 

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Required 7.

Number of Scouts expected 

 

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Required 8.

Select Girl Scout Event Type  

I Need To Use Up My Cookie Money- 1.5 hours - $15 Bracelet
I Need To Use Up My Cookie Money- 1.5 hours - $18 Necklace
I Need To Use Up My Cookie Money- 1.5 hours - $25 Jewelry set
Jewelry Badge with Gemstone Energy- 2 hours- $22 bracelet
Jewelry Badge with Gemstone Energy- 2 hours- $25 Necklace
Recycled Jewelry Project- 1.5 hours- $22 Soda tab earrings and wire working
Making Friends: Friendship Bracelet (brownies and up)- 1.5 hours- $15 Bracelet
Making Friends: Friendship Necklace (brownies and up)- 1.5 hours- $18 Necklace
Art to Wear (brownies and up)- 1.5 hours- $15 Bracelet
Art to Wear (brownies and up)- 1.5 hours- $18 Necklace
Girl Scout Event Reservation Policy:
Time slots will be held with the receipt of $100 deposit and a completed registration form. This time sot may be moved up to two weeks prior to the party date. The balance is due the date of the party in the form of cash or check with the host agreeing to pay for the number of guests as indicated on the registration form. If the minimum is not met on the date of the party due to unforeseen illness or no shows of guests, Just Bead Yourself will issue a credit in the form of gift certificates for the missing guests.
 
9.

Any additional comments or questions 

 

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