MILESTONES REQUEST
Girl Scouts of Eastern Missouri recognize girls with a certificate to document their
commitment to Girl Scouting that have reached the following Milestones:
Ten Year
13 Year
Graduating Senior
To receive certificates, fill out this request form and mail by March 1
st
to:
Girl Scouts of Eastern Missouri
Milestones
2300 Ball Drive
St. Louis, Mo 63146
Certificates will be mailed in May
Check the Certificate(s) you are eligible to receive this year. Do not check a
Milestone if you received recognition in the past:
____ 10 years in Girl Scouting
____ 13 years in Girl Scouting
____ Graduating Senior
Print name as it should appear on the certificate:
Name___________________________________________________________
Address________________________________City______________Zip_____
District___ Neighborhood___ Troop _____ Juliette (individual Girl Scout)_____
Circle one: Cadette, Senior, Ambassador
Total number years in Girl Scouting______
Jr 3/2012