2024 Retreat Registration Form

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Parent/Guardian Name *

First

Last

Address *

City *

State *

Zip *

Parent/Guardian Email *

Parent/Guardian Phone *

Emergency Contact Name *

Emergency Contact Phone *

Troop Number (i.e. MD0414) *

Daughter 1 Name *

First

Last

Daughter 1 Date of Birth *

Daughter 1 Grade *

Daughter 1 Level *

Daughter 1 T-shirt Size *

Daughter 2 Name

First

Last

Daughter 2 Date of Birth

Daughter 2 Grade

Daughter 2 Level

Daughter 2 T-shirt Size

Daughter 3 Name

First

Last

Daughter 3 Date of Birth

Daughter 3 Grade

Daughter 3 Level

Daughter 3 T-shirt Size

Will your daughter be bringing medication to the retreat? *

Medical / Allergy Needs

Please describe any medical needs, medications or allergies that we need to know about for any of your daughters.

Adult Chaperone *

Yes
No
Maybe

We are looking for 6 adult chaperones to help plan and run the event. There is a cost of $125 to be a chaperone. Please let us know if you are interested.

Photo Permission *

Do you give us permission to use any image of your daughter(s) to promote this event in subsequent years?

Permission & Agreement *

I agree and give my permission for my daughter(s) to attend the event

Registration Process

Submit payment of $225 per daughter via PayPal
Download the AHG Health and Medical Form and send to retreat@ahgmom.com
Download the AHG Event Permission Form and send to retreat@ahgmom.com

Please see the sidebar to the right for links to PayPal and forms.

Registration Tasks

Once you submitted your registration form to the left, please use the links below to submit your payment and download the forms that will need to be completed and sent to retreat@ahgmom.com

Submit payment of $225 per daughter via PayPal
Download the AHG Health and Medical Form
Download the AHG Event Permission Slip