Registration to become a Passport Girl Troop/Squad Leader

National Membership fee of $55.00 -- due at completion of form submission.

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Personal Information

Troop Leaders First name

Troop Leaders Last name

Please list any nickname you may prefer to called.

Passport Girls Age as of Today

Please share what you do for a living, or did do. What are some of your hobbies?

Troop Leaders Birthday

Month

Day

Year

Phone

Troop Leaders State

Troop Leaders Town/County

Multi-line address

Country/Region

Address

City

Zip / Postal code

What groups do you want to lead? Choose all that apply:

K through 3rd Grade-- Sparkle Sprites

4th through 6th Grade-- Pixie Lights

7th through 9th Grade-- Starlight Fairies

10th through 12th Grade-- Dream Seekers

Adult Level 1-- Rising Lights (All Adults begin here)

Adult Level 2-- Bright Lights

Adult Level 3--Keepers of the Light

I am requesting the start of my own Local Chapter. Please indicate your two letter code for your state, the first three letters of the city and 3 numbers- eg CA-SOL-123 below that indicate if your Chapter will have a Name