Rockstar Recruiter: Submission Form
Volunteer Name
*
First Name
Last Name
Your Service Unit Number
*
Troop Number
Is this a girl lead, adult lead, event participation entry?
*
Please Select
Girl
Adult
Girl & Adult
Event participation
Girl Name
*
First Name
Last Name
Girl's grade in school
*
(Daisy) K-1st
(Brownie) 2nd-3rd
(Junior) 4th-5th
(Cadette) 6th-8th
(Senior) 9th-10th
(Ambassador) 11th-12th
Girl Zip Code
*
Parent Name
*
First Name
Last Name
Parent Preferred Contact Method
*
Phone Call
Text
Email
Parent Phone No.
*
Parent Email
*
Any additional info you'd like us to know:
Troop No., School girl attends, etc.
Adult Lead
*
First Name
Last Name
Adult Lead Zip Code
*
Preferred Contact Method
*
Phone Call
Text
Email
Phone No.:
*
Email Address
*
What role is this adult interested in?
*
Adult member
Troop Activities Chaperone
Troop Cookie Volunteer
Troop Leader
Service Unit Volunteer
I'm not sure
To select multiple options, hit CTRL and click choices.
Any additional info you'd like us to keep in mind:
Troop No., Geographic area, etc.
Event type:
*
Please Select
Community Event/Parade
Bring a Friend
Troop Formation
Starter Troop
Event Name
*
Event Zip Code
*
Approximate Number of Attendees
*
Any additional info you'd like us to know:
Was this a successful event? Did you have enough supplies? etc.
Please verify that you are human
*
Submit
Should be Empty: