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Alternate Payment Registration Form

Alternate Payment Registration Form

Click here to downloand the Opportunity Grant Form

Alternate Payment Registration Form

Registrant Information - One registrant per form

Please note that this form is for events and trainings only. This form can not be used for membership registration, troop/family camp or summer camp registration.

Name:
First
Last
Address
Street Address
City
State
Postal Code
Home Phone:
Area Code
Phone Number
Cell Phone:
Area Code
Phone Number
Email Address
Troop #/Juliette:
Grade Level:

Event or Training Information

Name of event/training registering for:
Date of event/training:
Location of event/training:

Alternate Payment Information *Please select an option below*

Please note that cookie credits can NOT be used for Adult Training
Cookie Credit - Enter the full number below
Amount to deduct from card
A link to the Opportunity Grant form is at the top of the page.
Opportunity Grant - Please send Opportunity Grant form to the Denver Service Center, attn: Events and Training Registrar
Check - All checks must be sent to the Denver Service within 10 days of submitting this form. If your check is not recieved within 10 days, you will NOT be placed into the event.
Comments

Instructions

Please send all opportunity grant applications and checks to the Denver Service Center - 400 S. Broadway PO Box 9407 Denver, CO 80209 Attn. Events and Training Registrar.

If an event or training is at capacity or past the registraton deadline when this form is submitted you will not be placed into the event or training.

Please note that this form is for events and trainings only. This form can not be used for membership registration.

For more information or for clarification please contact Stephanie Lester at stephanie.lester@gscolorado.org or 303-6074882
I have read the above instructions and agree to the terms of the form