Discovery Day Camp Registration Form

Please fill out entire form.

This is a secure form. If you do not wish to submit online, you may print out this form, fill it out and send it directly to

Girl Scouts of the Sierra Nevada, Attn: Day Camp Registration

FAX: (775) 322-0701 or

MAIL: 605 Washington Street, Reno, Nevada 89503.


Girl Information
Girl's Full Name: *
Home Phone Number: *
Girl's Email Address: *
Address: *
City: *
Zip Code: *
Age: *
Date of Birth: *
School:
Troop Number:
Grade in the Fall: *
Interested in Joining Girl Scouts? *
Parent/Guardian Information
Mother/Guardian Full Name: *
Mother/Guardian Email Address: *
Mother/Guardian Day Phone Number: *
Mother/Guardian Evening Phone Number: *
Father/Guardian Full Name:
Father/Guardian Email Address:
Father/Guardian Day Phone Number:
Father/Guardian Evening Phone Number:
Emergency Contact
Emergency Contact Full Name: *
Relation: *
Emergency Contact Day Phone Number: *
Emergency Contact Evening Phone Number: *
Additional Information
May we take photos of your daughter? *	Yes No
My daughter will be attending: *
Best Friend Forever Discount? *	Yes No
Best Friend Forever Full Name:
Fees/Online Payment
Total Fees Due: *
Credit Card: *
Card Holder Name: *
Credit Card Number: *
Card Expiration Date: *
Security Code: *
Card Billing Zip Code: *