ON – Program Idea Submission – Girl Guides of Canada-Guides du Canada

Name of Company/Organization*
Type of Organization:*
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Email*
Are you looking to offer a badge day?*
- Yes
- No
What is the date?*
MM slash DD slash YYYY
Length of time for program or activity:*
What age group is your program geared to?*
- 5-6 (Sparks)
- 7-8 (Embers)
- 9-11 (Guides)
- 12-15 (Pathfinders)
- 15-18 (Rangers)
- Adults
What is the cost per girl?*
What is the cost per adult?
Provide a description of the service you offer*
What are the benefits to our Members?*
If your Company/Organization is required to travel in order to fulfill your service, what areas are you willing to travel to?
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