Parent Info (name required)

First Name Last Name

Phone Number

Your Email (required)

Confirm Email

Your Address

CityState Zipcode

Daughter's Information

Your Daughter's Name (first name required)
Daughter's First Name
Last Name (if different)

Daughter's Date of Birth

School COHCES (Lee Road)WillowCCMSCCHSOther

If other, what?

Grade as of September 2020 (current grade)k123456789101112

Was your daughter in scouts before?yesno

Leaders and other adult help is vital to our success

Can you help?
If yes, how?LeaderCo-LeaderAssistant LeaderCookie Mom/DadTreasurerService Unit RoleNoOther

If other, what?

Do you have other daughters?Currently in a Cornwall TroopPreviously in a Cornwall TroopLooking to Join a Troop

If they are looking to join a troop, please fill out another interest form.

If they are a twin and the rest of information is the same, please enter first name here

Additional Information

Thank you

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