GSCC Event Registration

Girl Scout Commonwealth Council of Virginia

Registration Number:

Section I - Please provide the following ADULT contact information:(*Mandatory Fields)

Date Submitted:

*Troop Leader Girl Scout Non-member Parent/Guardian

*Last Name:

*First Name:Middle Initial:

*Address:

*City:State:Zip:

*Home Phone: (example 8041234567)

Office Phone: (enter 10 digit phone number Including area code)

Cell Phone: Email Address:

Section II - Please provide Girl Scout Troop information: (Click down arrows in box next to titles to view selection)

Troop Number:Service Unit Name:Levels:

Section III - Please provide the following Event information:

Event Name:Event Date:Event Time:

Event Location:

(Check box if you want to be placed on waiting list if session is full) Waiting List

Click here to print and complete Overnight Requirement Form - Mail form to address below with registration
Girl Scout Commonwealth Council of Virginia, Inc. 7300 Hanover Green Drive P.O. Box 548 Mechanicsville, Virginia 23111

Section IV - Please provide the following event attendance information:
(Cost are calculated automatically)

Select Event for GS:Number of Girl Scouts:Cost of Girl Scouts:

Select Event for Adults:Number of Adults:Cost of Adults:

Select Event for Non-member:Number of Non-members:Cost of Non-members:

Number of Free Adults:

Total Cost:

Registration Number: Have ALL ATTENDEES names, addresses, and emergency contact and phone numbers ready before you begin. Emergency Contact Information is crucial and mandatory for all council sponsored events. (please make note of Registration Number it will be needed to complete the on-line process and to track your Registration)

Click here to complete summer camp registration

*Click here to complete Event attendees registration (*Attendee's list must accompany registration form)

Recommended ratios of adults to girls

Section V - Please provide payment information:

Check(if paying by check print form and mail with payment to address below, must be received within (3) business days)
Girl Scout Commonwealth Council of Virginia, Inc. 7300 Hanover Green Drive P.O. Box 548 Mechanicsville, Virginia 23111

Cookie Dough Amount:

Credit Card(Complete section below)

Credit Card:

Credit Card Number:(1234 1234 1234 1234)

Expiration Date:Month/year(09/07)

Cardholders Name:

Signature: (type full name)

Amount Due: Deposit:

Confirm Registration