GSCO Cookie Box Innovation Challenge Patch Notification

GSCO Cookie Box Innovation Challenge - Patch Program Notification

Name*

First Name

Last Name

Email*

Phone*

How do your girls participate in Girl Scouts?*

Troop Juliette

Troop Number*

Juliette?*

Juliette

Please click this option if you're a Juliette.

Girl Scout Program Level (for multi-level troop please check all that apply)*

Cadette (6-8) Senior (9-10) Ambassador (11-12)

Number of Cadette (6-8)

Number of Senior (9-10)

Number of Ambassador (11-12)

Total number of Girl Scouts who earned the patch*

FREE

Quantity:

Addressee Name*

First Name

Last Name

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

What county do you live in?*

Region*

What knowledge or skill did your Girl Scout(s) take away from this patch?*

Tell us a little bit about the design(s) your Girl Scout(s) created. *

Signature*

Use your mouse or finger to draw your signature above

Maximum Capacity