ࡱ> q` 4VbjbjqPqP |::JDDD8|@L9((j #x8888888$;hw=d9%" ^%%9"9>1>1>1%RXR8>1%8>1>1R~56""6 Q{aDF&r6 89096=&8=<6=6\|$"$>1$$|$|$|$99 ,2|$|$|$9%%%%d DD The Girl Scout Council of the Mid-South is committed to making Girl Scouting available to every girl, everywhere. Financial assistance is allocated yearly to help fund girls participation. Instructions: Girl Scout troop/group leader(s) or parent(s)/guardian(s) may fill out this form (completely) and return it to the council address at the bottom of the page. All incomplete forms will be returned to the troop for completion and resubmission. Girl must be a registered Girl Scout in order to receive financial assistance. Girl s Name  FORMTEXT       Troop/Group #  FORMTEXT       Service Unit  FORMTEXT       Address  FORMTEXT       City  FORMTEXT       State/Zip  FORMTEXT       Age  FORMTEXT       Grade  FORMTEXT       Age level (check one)  FORMCHECKBOX Daisy  FORMCHECKBOX Brownie  FORMCHECKBOX Junior  FORMCHECKBOX Cadette  FORMCHECKBOX Senior  FORMCHECKBOX Teen Girl Scout Troop/Group Leader  FORMTEXT       Phone:  FORMTEXT       E-mail:  FORMTEXT       Address  FORMTEXT       City  FORMTEXT       State/Zip  FORMTEXT       Adult making request  FORMTEXT       Phone  FORMTEXT       Relationship to girl  FORMTEXT       Type of assistance needed (check below)  FORMCHECKBOX  Money for Girl Scout troop/group dues Troop/Group Dues: $  FORMTEXT       per:  FORMCHECKBOX  year  FORMCHECKBOX  year Amount family can contribute: $  FORMTEXT       Amount requested $  FORMTEXT       (Amount will be sent to Girl Scout leader)  FORMCHECKBOX  Daisy Girl Scout  FORMCHECKBOX  Daisy Girl Scout Activity Book  FORMCHECKBOX  Daisy Girl Scout Tunic (select size)  FORMCHECKBOX  S/M (6-7)  FORMCHECKBOX  L/XL (8-10)  FORMCHECKBOX  Troop Numbers  FORMTEXT        FORMCHECKBOX  Brownie Girl Scout  FORMCHECKBOX  Brownie Girl Scout Handbook Select one (Badge Sash or Vest)  FORMCHECKBOX  Badge Sash  Select size  FORMCHECKBOX  47 long  FORMCHECKBOX  59 long  FORMCHECKBOX  Vest  Select size  FORMCHECKBOX  S (6-8)  FORMCHECKBOX  M (10-12)  FORMCHECKBOX  L (14-16)  FORMCHECKBOX  L+ (16 -18 )  FORMCHECKBOX  Girl Scout ID Set  FORMCHECKBOX  Troop Numbers  FORMTEXT        FORMCHECKBOX  Junior Girl Scout  FORMCHECKBOX  Junior Girl Scout Handbook Select one (Badge Sash or Vest)  FORMCHECKBOX  Badge Sash Select size  FORMCHECKBOX  52 long  FORMCHECKBOX  62 long  FORMCHECKBOX  Vest Select size  FORMCHECKBOX  M (10-12)  FORMCHECKBOX  L (14-16)  FORMCHECKBOX  XL (18-20 )  FORMCHECKBOX  XXL (20 -22 )  FORMCHECKBOX  Girl Scout ID Set  FORMCHECKBOX  Troop Numbers  FORMTEXT        FORMCHECKBOX  Teen Girl Scout Select one:  FORMCHECKBOX  Cadette Girl Scout Handbook  FORMCHECKBOX  Senior Girl Scout Handbook  FORMCHECKBOX  Focus Books (2)  FORMTEXT        FORMTEXT       Select one (Badge Sash or Ve   ) * j   4 6 J L N X Z \ x z lXl&jth`hl >*OJQJU%jh`>*OJQJUmHnHu&jh`hl >*OJQJUh`>*OJQJjh`>*OJQJUh`OJQJhfY'hNOJQJh4hN5OJQJh4OJQJh85OJQJh8OJQJhfY'hMhOJQJhDiOJQJhfY'hDiOJQJ!  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Please call  FORMTEXT       at  FORMTEXT       when items are available for pick-up.  FORMCHECKBOX  I would like these items to be given to my daughter s Girl Scout leader.  FORMCHECKBOX  I would like these items mailed directly to the girl.  For council use only: Date received: Approved by: Date approved: Annual Troop/Group Financial Report  FORMCHECKBOX  Yes  FORMCHECKBOX  No Location of Troop/Group Funds  FORMCHECKBOX  Yes  FORMCHECKBOX  No Troop Status  FORMCHECKBOX  New  FORMCHECKBOX  Renewal Amount previously granted to troop this program year : $ Date order filled: by: Date notified/mailed: Picked up by Date Notes:     Girl Scout Council of the Mid-South  Girl Financial Assistance  Mailing Address: P. O. 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