NL – The Sharron Callahan Member Assistance application for girl members

Girl(s) for whom assistance is being requested:(Required)

First name

Last name

Unit (e.g. 1st Anytown Sparks)

To add a girl, click the + symbol

Parent or Caregiver(Required)

First Last

Email(Required)

Enter Email Confirm Email

Amount requested for uniform (50% up to maximum of $25 per girl)

Approved uniform assistance will be sent to the district concerned. Your district will advise you on placing the order for uniform pieces needed. Assistance for camp registration fees will be sent to the unit or council concerned.

Specify:

Shirt

Scarf

Badge Sash

Amount requested for Canadian camp registration fee such as a unit or district camp (up to 50%, to a maximum of $150):

Details of the camp

Please provide all known details about the camp such as the name of the camp, the planned date, total registration fee being charged, etc.

Please indicate why financial assistance is requested at this time.(Required)

Examples of need for financial assistance include family size, single parent, or any circumstance that affects your ability to pay these expenses.

Signature of Parent/Caregiver(Required)

Date(Required)

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We protect and respect your privacy. Your personal information is used to communicate within our organization. We do not provide or sell this information outside our organization. For further information, see our Privacy Policy at www.girlguides.ca