Girl Scouts of Minnesota and Wisconsin River Valleys

Council-Sponsored Program Events

Please complete all of the information requested on the electronic registration form and submit it with full payment. Complete a separate form for each event.**Please note:

Electronic registration is not real-time/live.
- Registrations submitted electronically are processed along with those submitted by mail, fax, and in person.
- Registrations are processed on a first-come, first-served basis.
Posted registration deadlines are firm.
- Late registrations are not accepted.
- If a program event fills to maximum capacity, registration will close even if the registration deadline has not passed.
- If mailing the registration, postmark date does not count as meeting the registration deadline.
A “Submission Receipt” is not a registration confirmation.
- After submitting the electronic registration form, you will receive a Submission Receipt.
- The Submission Receipt is simply a notification that your registration request has been submitted.
Registrations not submitted electronically must be submitted to the Brooklyn Center Service Center only.

Do not submit registrations to any other River Valleys’ service center location.

Registration will not be processed until payment information has been verified.
A Registration “Confirmation Statement” will be mailed to you within two weeks.
- The confirmation statement is the notification that you are registered in the program event.
- Do not assume you are registered in a program event until you receive a confirmation statement.
- If you are not registered in the program event (i.e., because the event is full or its registration deadline has passed),
  you will receive a notification letter and refund.
If a program event does not fill to minimum capacity, it may be canceled.

If you are already registered in a program event that needs to be canceled due to low registration, you will be notified and offered alternatives.

If you have any questions, please contact the council staff Registrars at 763-535-4602 or registration@girlscoutsrv.org.

If you prefer to register by fax or mail, you may download the registration form (PDF) by clicking here.

Do not use the electronic registration form if…

You are using Cookie Credits as payment (you must mail in your registration form with the cookie credits, e.g., coupons).
You are requesting a Grant/s for Girls to help with payment (you must mail in your registration form with the grant application/s).
You are using a check/money order as payment (you must mail in your registration form with the check/money order).

For complete Council-Sponsored Program Event Registration Procedures, including cancellation statement, please click here.

Registering as a:

(if you are registering an individual girl without an adult participant and the event requires an adult participant, your registration form may not be processed)

Troop Leader or Individual Girl Information

First Name:

Last Name:

Address:

City:

State:

Zip:

Day Phone:

(example: 612-555-1122)

Evening Phone:

Cell Phone:

Email address:

Service Unit:

Troop Number (if applicable):

Program Grade Level:

Grade(s) of Girl(s):
(check all that apply)

	K		1		2		3		4		5
	6		7		8		9		10		11		12

Event Information

Event Title:

Event Code:

Date(s):

Time (Begin - End):

Location

Please list all event participant(s); refer to Safety-Wise for adult ratio standards:

(If you have more than 20 participants, please submit an additional registration form)

					Member?		Special Needs
	Name (Last, First, M.I.)	Phone	Girl	Adult	Yes	No	(accessibility,allergies, dietary, interpreter, etc.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

*Please note: To attend a council-sponsored program event, girls must be currently registered Girl Scout members (unless noted otherwise in the program event description). You will be mailed a “2009-2010 Girl Member Registration Form” for each girl event participant who is not a registered member.

Payment Information

Fee per Girl:	X	# of girls	=
Fee per Adult:	X	# of adults	=
Total Payment Due:			$

Credit Card Information

If the Event has No Fees, please check here:
(If no fees, please do not enter the credit card information below)

Method of Payment:

Credit Card type:

Amount to Charge Credit Card:

Credit Card #:

CVV#:

What's this?

Expiration Date (month/year):

Example: 11/2010

Cardholder's Name:

Address:

Address same as above

City:

State:

Zip:

Cancellation Policy

Registration cancellation must be received in writing 30 days prior to the event to be eligible for fee refund. In utilizing this form, you are agreeing to comply with all event registration procedures, including this cancellation statement, as well as inform parents/guardians of the procedures and statement. (Click here to read complete registration procedures.)

I have read the above cancellation policy, and I agree.

I have reviewed this registration for accuracy.