GIRL SCOUTS OF THE PHILIPPINES

National Headquarters
APPLICATION FORM (GIRL)
IGGNITE 2017 IRISH GIRL GUIDES INTERNATIONAL CAMP, IRELAND
JULY 30-AUGUST 6, 2017
Please complete and return this form on or before January 31,2017
International Affairs Division
Tel. No. : 02 526 5193
901 Padre Faura St.
Fax. No. : 02 524 5144
Ermita, Manila
Email : international@girlscouts.org.ph
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Council:

Region:
PERSONAL DATA

Name:
Last

Middle

First

Date of Birth:
Age:
Home Address:
Telephone No.
E-mail Address:
Mobile No.
Passport No.
Date Issued:
Expiration Date:
School:
Year:
Course:
Parents/Guardian:
Person to notify in case of emergency:
Relationship:
Address:
Tel. No.:
Special Interest/Hobbies:
Food Prohibition:
GIRL SCOUTING DATA
Age Level:
Date of Last Registration:
Troop No.:
GIRL SCOUTING EXPERIENCE
If additional space is required, please use separate sheet of paper and attach to this Form.

Badges Earned as Senior/Cadet Girl Scout

National/Regional and International Camps/

Girl Scouts Events Attended

Venue/Date

Awards/Recognition (GSP)

OTHER EXTRA CURRICULAR ACTIVITIES/OTHER YOUTH ORGANIZATIONS

Awards/Recognition (Non-GSP)

SKILLS/TALENTS

Signature
Endorsed by
Council Executive

Council President

Regional Executive Director