Silver Award Junior Badge Workshop

What: A chance for Junior Girl Scouts to earn the “Animal Helper” Badge (Virginia Skyline Council’s Own) and “Operation Happy Sock” participation patch!

When: Saturday, September 26th, 2009 from 2:00 to 4:00 pm

Where: DUMC Scout Hut

Admission Fee: $5.00 per girl

Also

individual girls attending - bring a box/bag of dog biscuits

or troops attending – bring a large bag of dry adult dog food

Must bring in order to earn badge!!

Three members of Troop 22442 will present this unique Badge Workshop which focuses on how girls can help with Animal Shelters and Pet Overpopulation. Participants will complete all of the requirementsto earn the “Animal Helper” badge and will also earn the “Operation Happy Sock” participation patch.

Please register before 10 September 2009 due to space limitations, patch ordering timelines and our desire to provide a qualityexperience for all participants. Seats in the workshop are limited to 33 girls. Registration is on a first-come first-serve basis (registration forms and fees paid).

How to Register:

1. Complete the registration form on the back of this form and mail in with the Fee.

2. A Health History and contact information must be provided – a copy of a Health History already providedto a troop leader is acceptable.

Questions? Need more flyers? Contact Rachel Vaizer at 770/396/6187 or email at

Animal Helper Junior Badge Workshop – 26 September 2009

Name: ______

Junior Troop # ______

Address: ______

City: ______ZIP:______Home Phone: ______

E-Mail (for confirmation and information):______

Mom:______Cell:______

Dad: ______Cell:______

During the activity, parent or troop leader may be reached at:

 the Workshop

 Home address listed above; or

 Other:______

Health Form: If parent or troop leader will NOT be attending the Workshop, please provide a copy ofa current Girl Scout Health History Record (a copy of the form provided to your troop is fine; if unavailable, please complete a new form found at this link):

Permission:

My daughter, ______, has my permission toparticipate in the Animal Helper Junior Badge Workshop on 26 September 2009. I have reviewed her Health History Record and confirm that all the information is current and correct. I give permission to the person trained in First Aid, or another adult in charge of the activity, to administer first aid as required.

If I cannot be reached in the event of an emergency, the following person is authorized to act on my behalf:

Name: ______Phone:______

Signature of Parent or Guardian and Date

______Date:______

Please make checks payable to: Troop 22442

and Mail or bring form with $5.00 to:

Rachel Vaizer

2009 Village North Road

Dunwoody, GA 30338