Please note that all on-line registrations must be paid by credit card. If you choose to pay by check, please complete the hard-copy version of the Tools to Lead Registration Form.

STEP 1 - ENTER YOUR CONTACT INFORMATION

First Name *

Last Name *

Street Address *

City *

State *

Home Phone *

Work Phone (optional)

Girl Scout Position *

Age Level *

Service Unit *

Please complete the following question for us to update our records.

Have you ever taken 'New Leader Orientation'? *

If Yes, what was the date of 'New Leader Orientation'

STEP 2 - ENTER YOUR COURSE INFORMATION

Course Title *

Date and Time of Course *

Course Location *

If you are signing up for additional courses, please use the space below.

Course Title

Date and Time of Course

Course Location

Additional Comments

DO YOU HAVE ANY “BURNING QUESTIONS” YOU WOULD LIKE ANSWERED AT TRAINING? Please help us better serve you by submiting any burning questions within this registration form (or on a separate paper if faxing). We will pass these questions on to your Trainer. Thank you!

STEP 3 - ENTER PAYMENT INFORMATION (if necessary)

Name as it appears on card

Type of Card

Credit Card Number

Exp Date

Total Amount Billed to Card

STEP 4 - ENTER YOUR EMAIL ADDRESS FOR CONFIRMATION

Please enter your email address to receive an auto generated reply from our server that your registration has been submitted successfully. Official training confirmation will be sent to you one week prior to the date of the training you have registered for.

Please complete the following question for us to update our records.

*

I would like to receive Girl Scouts of Northern New Jersey's monthly e-newsletter, Discover Connect Take Action, and other electronic updates about trainings, programs, and events.
(You can unsubscribe at any time.) *

Yes

No

PLEASE REVIEW FORM TO MAKE SURE THAT ALL REQUIRED FIELDS (INDICATED BY *) ARE COMPLETED. THE FORM CANNOT BE SUBMITTED UNLESS THESE FIELDS ARE COMPLETED. CLICK ON REGISTER BUTTON TO COMPLETE REGISTRATION