GS 802 & PARENT INFORMATION

EMERGENCY INFO

GS NAME: ____________________________DOB:_______________

MOM’S NAME: _____________________________________________

DAD’S NAME: ______________________________________________

SIBLINGS/AGES: ___________________________________________ _________________________________________________________

ADDRESS:_________________________________________________

 

PREFERRED EMAIL FOR INFO:_________________________________ List 2 if you prefer 2 locations_____________________________

          EMAIL OR FACEBOOK OF CADETTE: _______________________

HOME  PHONE:_____________________________________________

WORK PHONE:      M:________________   D:________________

CELL PHONE:        M: _______________    D:________________

CELL PHONE OF CADETTE: ____________   TEXT:  Y   N

 

BEST WAY TO REACH YOU QUICKLY: ___________________­­­­________

 

EMERGENCY CONTACT                     NUMBER               RELATION:

1. _______________________________________________________

2. _______________________________________________________

HOSPITAL PREFERENCE: _____________________________________

 

FOR SAFETY REASONS, LIST YOUR DAUGHTER’S ALLERGIES OR OTHER “NEED TO KNOW” INFORMATION: _________________________________________________________

REGISTERED ADULT WITH GIRL SCOUTS?        Y        N

HOW DO YOU PREFER TO HELP WITH THE TROOP?_________________ _________________________________________________________

YOUR SPECIAL TALENTS/HOBBIES/INTERESTS:__________________

_________________________________________________________

WHAT ARE YOU WANTING OUT OF GIRL SCOUTS FOR YOUR DAUGHTER? _______________________________________________

COMMENTS/SUGGESTIONS: _________________________________

________________________________________________________________________