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Fill Circle Below |
Program | Dates | # of Adults | # of Youth | Total $
Youth @$25 Adults@$15 |
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O
O
O |
Girl Scouts Matter in Action Cub Scouts Super Science Sleepover Family and Groups Up Up and Away! |
4/18/2008
5/2/2008
5/16/2008 |
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__________________________________________ Contact Name __________________________________________ Youth Group/Council Name __________________________________________ Troup/Pack Number __________________________________________ Mailing Address __________________________________________ City, State, Zip __________________________________________ Day Phone __________________________________________ |
Grand Total: |
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Contact Jim Hodgin at 260-424-2400 ext 451 for more information. |
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If these dates are not convenient for your group, please give us a call at 260-424-2400 ext 451 to discuss different dates |
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