Intent Form

 Please print out and return

 Scout’s Name ___________________________________

To assist with leader planning please fill in this form to the best of your knowledge. If you think you might go but aren’t sure please indicate this. We need to know where the real interest lies. Put check mark next to the ones you are definitely interested in, x definitely not interested and m if you are undecided. Fill in any additional information for yes and maybe answers.

______  1)  Zany Brainy Fundraiser can raise $300 plus per 6 hour shift. Remember a parent has to plan to be there the whole shift.

November 24,  25,  26 & December 16,  17.  (circle dates you are interested in)

_____  2) Singing at the Ellipse on December 13 from 8 – 8:30

_____  3) Lazy Susan Dinner theater on January 7.

                        _____ troop only

                        _____ Mother/Daughter event

_____  4) Inauguration on Saturday, January 20

                        Scout’s social security number __________________

Scout has / does not have (circle one) a full (blouse, scarf, skirt/shorts, and vest) uniform.

Scouts place of birth (city/state) _______________ (this is for security)

_____  5) Toga skiing at White Tail on January 29 (a family event)

_____  6) Self Defense IP February 24 (most of the day)

_____  7) Want to help with Thinking Day

_____  8) Our Cabana

                        _____ I did pay the deposit but will not be going

                        _____ I didn’t pay the deposit but now want to go

                        _____ (adults) I want to go with the troop and will pay my own way

  Thanks for your input!!!!!!

Return to Mrs. Davis by October 23