Indoor Rock Climbing - Troop Registration
For Juniors and up; Brownies too!

Date:  Sunday, February 12th
Time: Two time slots are available, 2-4pm or 4-6pm.  Time slots will be assigned.  We will try to group by grade level as much as possible,
with the older scouts at the later time.  Please note if you cannot make a certain time -

Cost: $22.00/girl; includes equipment rental and patch (payment info below), register by Friday, Feb. 3rd

Directions:Complete Troop Registration, then proceed to Payment Info area.
Please bring permission form and waiver to the event.  Go to Adult Guides page to download forms.

Troop Registration:

Troop LeaderTroop #:  Troop Level
     First NameLast Name  
Names of girls attending from your troop:
1First NameLast NameAgeGrade
2First NameLast NameAgeGrade
3First NameLast NameAgeGrade
4First NameLast NameAgeGrade
5First NameLast NameAgeGrade
6First NameLast NameAgeGrade
7First NameLast NameAgeGrade
8First NameLast NameAgeGrade
9First NameLast NameAgeGrade
    10First NameLast NameAgeGrade
    11First NameLast NameAgeGrade
    12First NameLast NameAgeGrade


**Indicate payment method: If paying by check, please screen print the registration information
before clicking on the "register now" button. If more than 12 girls, print for every 12 entered.












Payment Information:
















Contact:  Phone - 359-8171       Email - Corrin DeBettencourt                                                  


                                                                    

Medfield Adult Guides Site
Event Registration

Registration Deadline:  Friday, February 3rd

DO NOT PROCEED TO PAYMENT AREA UNTIL ALL NAMES HAVE BEEN ENTERED AND
REGISTERED BY PRESSING THE "REGISTER NOW" BUTTON.


Payment by Check
Cost is $22.00 per Girl Scout

Please submit one check for the troop and include copy(ies) of screen print.

Make check payable to Medfield Girl Scouts.

Mail to Corrin DeBettencourt at 18 Birch Lane

On-line Payment
Cost is $23.10 per Girl Scout

Please click on the "Buy This" button below and indicate total quantity (total # of girls registered)
Do this only once.

Note:  When paying through Pay Pal you will be charged  a processing fee of $1.10 per girl scout

When registering more than 12 girls, please include leader name and troop info and
click on the "register now" button for every 12 girls entered. 

checkon-line