Girl Scouts of Middle Tennessee Interest Form

1
Girl Name* This field is required.
First Name
Last Name
2
Girl Grade* This field is required.
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
Freshman/9th grade
Sophomore/10th grade
Junior/11th grade
Senior/12th grade
2021-2022 School year
3
Adult in Charge Name* This field is required.
First Name
Last Name
4
Adult in Charge Phone Number* This field is required.
Area Code
Phone Number
5
Adult in Charge Email* This field is required.
6
In which area does your girl attend school?* This field is required.This will help us place her with a troop. if you would rather her be placed with a troop in a different area than she attends school, please select that area.
Clarksville (Ft. Campbell, Stewart, Montgomery, Robertson, Houston, Dickson, Cheatham and Humphreys Counties)
Lebanon (Sumner, Trousdale, Macon, Smith and Wilson Counties)
Cookeville (Dekalb, White, Cumberland, Fentress, Pickett, Clay, Overton, Jackson and Putnam Counties)
Rutherford County
Williamson County
Davidson County
Columbia (Maury, Hickman, Perry, Lewis, Giles, Lawrence, and Wayne Counties)
Manchester (Cannon, Warren, Coffee, Bedford, Moore, Marshall, Lincoln and Franklin Counties)
I do not live in Middle Tennessee
7
In which MNPS Cluster does your girl attend school?Even if your child attends a Private School, they are zoned for a cluster. Please indicate which cluster. If you do not know your cluster, please reference this map (https://mnps.org/learn/register-for-school/find_my_school)
Cane Ridge
Antioch
Glencliff
Overton
Hillsboro – South
Hillwood
Maplewood
Stratford
McGavock
Pearl-Cohn
Whites Creek
Hunters Lane
Hillsboro – North
8
Davidson RE
9
Which County?
Ft. Campbell
Stewart
Montgomery
Robertson
Houston
Dickson
Cheatham
Humphreys
10
Which County?
Sumner
Trousdale
Macon
Smith
Wilson
11
Which County?
Dekalb
White
Cumberland
Fentress
Pickett
Clay
Overton
Jackson
Putnam
12
Which County?
Maury
Hickman
Perry
Lewis
Giles
Lawrence
Wayne
13
Which County?
Cannon
Warren
Coffee
Bedford
Moore
Marshall
Lincoln
Franklin
14
School your Girl attends (or, if homeschooled, is zoned for)* This field is required.
15
School your Girl attends (or, if homeschooled, is zoned for)* This field is required.
Beech Elementary
Benny Bills Elementary School
Bethpage Elementary School
Byars Dowdy Elementary School
Carrol Oakland Elementary School
Carthage Elementary School
Castle Heights Elementary School
Central Elementary School (2&3)
Clyde Riggs Elementary
Coles Ferry Elementary School
Defeated Elementary School
Dr. William Burrus Elementary
East Robertson
Elzie Patton Elementary
Fairlane Elementary School (K&1)
Forks River Elementary School
Gene W. Brown Elementary
George Whitten Elementary
Gladeville Elementary
Gordonsville Elementary School
Guild Elementary
HB Williams Elementary
Howard Elementary School
Indian Lake Elementary School
Jack Anderson Elementary School
Jones Brummett Elementary
JW Wiseman
Lafayette Elementary School (4& 5)
Lakeside Park Elementary
Lakeview Elementary
Madison Creek Elementary School
Merroll Hyde Magnet School
Millersville Elementary
Mt. Juliet Elementary
Nannie Berry Elementary School
New Middleton Elementary School
North Sumner Elementary School
Oakmont
Portland Gateview Elementary
Red Boiling Springs
Robert Woodall
Rutland Elementary
Sam Houston Elementary School
Southside Elementary School
Springdale Elementary
Station Camp Elementary
Stoner Creek Elementary
Trousdale County Elementary School
Tucker's Crossroads Elementary School
Union Elementary STEM School
Union Heights Elementary School
Vena Stuart Elementary School
WA Wright Elementary
Walton Ferry Elementary School
Watertown Elementary School
Watt Hardison
West Elementary
Westmoreland Elementary School
Westside Elementary School
White House Heritage
16
Do you already know what troop you want to join?
YESNO
17
Please put the troop number here.
18
Placed Troop
19
Are you willing to volunteer?
YESNO
Should be Empty:

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