ࡱ > j bjbjVV X < < j > > , , g f ` ` ` $ o > ` > " ` ` ` Q ! ` ` #Ė v 7 0 g L ` ` ` ` ` ` ` ` ` ` g ` ` ` ` ` ` ` ` ` ` ` ` ` > G : 100th Anniversary Girl Scouts Rock the Mall Celebration June 8 10, 2012 Registration Form one per family Name of Girl Attending: ___________________________________ Troop # (required): 9_____________ Street Address: _____________________________________________________________________________________ City: _____________________________________________ State: NJ Zip Code: ___________________________ Is parent and/or sibling attending? Yes No If yes, please complete the following section: Name(s) of Adult(s): _________________________________________________________________________________ Name of Sibling: ____________________________________________________________________________________ Please initial the appropriate selection below. ________ I am one of the troops registered and trained leaders. ________ My daughter is a Daisy or Brownie and will be rooming with me. ________ We plan to room with this Daisy or Brownie mother/daughter pair: _________________________________________ ________________________________________ ________ I am a parent who plans to travel down separately and will make my own rooming arrangements. ________ I understand that I will be billed for the full rate of the room, $100, for each night for our family to attend the trip. ________ I am the only adult from our family coming and can choose up to 3 additional adults to room with to reduce the costs. (ie. 4 adults in the room will be $25 each per night) ________ My adult rooming partners are: (these must match on each girl/family registration form) You can consider women who have children in other troops to fill rooms. ___________________________________________ _______________________________________ ___________________________________________ Please do not remove this section of the form. Please select a T-shirt size for each person attending: ( Youth Small (6-8) ( Youth Medium ( 10-12) ( Youth Large (14-16) ( Youth X-Large (18-20) ( Adult Small ( Adult Medium ( Adult Large ( Adult X-Large (Adult XX-Large Scouts Name: ________________________________________ Troop # (required): 9______________ Leaders: Your assistance in compiling the girl/family registration forms into this form will help make our job flow easier. Please look over each registration form for its completeness. Fill in the appropriate blanks. You will be turning in each registration form also to provide us the double check the numbers for accuracy. Number of Girls: _______________________________ Number of rooms for girls: _______________________ (4 girls per room) Number of mother/daughter Pairs: ________________ Number of room for M/D pairs: ___________________ This option is being permitted for Daisy and Brownies ONLY Number of non-related adults: ____________________ Number of room for adults: ______________________ (Max. 4 per room) Number of families: ____________________________ Number of rooms for families: ____________________ Total number of rooms needed: ___________________ T-Shirt Size Totals for Troop # 9__________________ _____________ Youth Small ____________ Adult Small _____________ Youth Medium ____________ Adult Medium _____________ Youth Large ___________ Adult Large _____________ Youth X-Large ____________ Adult X-Large ____________ Adult XX-Large R S $ / 0 B f g ? 7 9 ) * I J O 7 ꯙ +h7g h7g CJ OJ QJ ^J aJ mH nH u4j h- h- CJ OJ QJ U^J aJ mH nH u h7g h)D hD h> h%}? h)6 hc hc H*hc hi5P j h- UmH nH u5 S g > ? m n o * + u v d gdc $d a$gdc d gdi5P I J 8 9 T - . / d gdD $d a$gdi5P d gdc ϴϙ~cH- 4jb h- h- CJ OJ QJ U^J aJ mH nH u 4jT h- h- CJ OJ QJ U^J aJ mH nH u 4jF h- h- CJ OJ QJ U^J aJ mH nH u 4j8 h- h- CJ OJ QJ U^J aJ mH nH u 4j*x h- h- CJ OJ QJ U^J aJ mH nH u 4jP h- h- CJ OJ QJ U^J aJ mH nH u +h7g h7g CJ OJ QJ ^J aJ mH nH u4j( h- h- CJ OJ QJ U^J aJ mH nH u ϴϙ~cH- 4j0 h- h- CJ OJ QJ U^J aJ mH nH u 4j h- h- CJ OJ QJ U^J aJ mH nH u 4j h- h- CJ OJ QJ U^J aJ mH nH u 4j h- h- CJ OJ QJ U^J aJ mH nH u 4j h- h- CJ OJ QJ U^J aJ mH nH u 4j~h h- h- CJ OJ QJ U^J aJ mH nH u +h7g h7g CJ OJ QJ ^J aJ mH nH u4jp@ h- h- CJ OJ QJ U^J aJ mH nH u . 7 Q T U h j k l . / h j B T U ` y z { ! $ & ' Z [ \ ҿҿҿÿҿҿҿʻʷʷʷʷʷʻ h> h> CJ aJ h> hj" CJ aJ h> h> CJ aJ h> h- hj" h7g j h)D hD hc h)D hi5P #h- hi5P CJ ^J aJ mH nH u%hc CJ OJ QJ ^J aJ mH nH u 8 B U V ` z { ! " # $d a$gd- d ^`gd- d gdD # $ % & ' [ \ ] > ? @ e f g d ^`gd> $d a$gd> d gdD d &d P gdD \ G I e h i j h)D hD h- h> h> CJ aJ h> hj" CJ aJ g h i j $a$gdc d gdD 2 1h:pc / =!"#$% Ff ;WW_Cc JFIF C C " } !1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w !1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? ( ( ( ( ( ( ( ( ( ( ( ( N?f~5m"+I4וIvՄ SB@浿o g~!kktXimKy Go `rNI P͂vgQ_ I~Aӵ2gܗ4jpz90 [?__m4?~&mV-O[P( Ia@5DWP_<UN@8GX,%l*.f[goc9@@#4 EP ( ( ( ( ( ( ( jʮ젂W :+l ˮX[cjY]2}:>U7M-KE%q;0F:cW䎯 r|"o~D \%[i韖?+~͞)[^4 EtU9*U®\टb[,&|A7]Ƴç;