Bronze Award Intent Form

Please fill out the form below to let us know if you are planning to earn your Girl Scout Bronze Award.

If you have any questions, please email us or call 402.558.8189.

Participating As: *

Five Digit Troop Number: *

Five Digit Troop Number (if applicable):

Anticipated Number of Girls Who Will Participate: *

Co-Leader First Name: *

Co-Leader Last Name: *

Girl First Name: *

Girl Last Name: *

Co-Leader First Name:

Co-Leader Last Name:

Phone: *

Email: *