Wisconsin Humane Society

Buy Tickets for: Girl Scouts Night 6:00-7:00pm

* First Name

* Last Name

* Email

Yes, I would like to receive periodic updates and communications.

Available Ticket Classes for This Event:

Ticket Class	Available	Limit	Price
Girl Scouts tickets (Opens new window)	30	No Limit	$15.00
Chaperone tickets (Opens new window)	6	No Limit	$5.00
WHS fun patch (Opens new window)	No Limit	No Limit	$2.00

Request Ticket Purchases Here:

Quantity	Cost (calculated)
Number of Girl Scouts tickets Tickets:	Cost:
Number of Chaperone tickets Tickets:	Cost:
Number of WHS fun patch Tickets:	Cost:
Total Tickets Requested:	Total Cost:

The Wisconsin Humane Society relies on donations to further our mission. Additional donations are always appreciated and are tax-deductible.

Total Amount:

Please answer the following additional questions to help us prepare for the event.

*1.

Question - Required - Attendee Name:

*2.

Question - Required - What level(s) are the Girl Scouts who will be participating?
Please make at least 1 selection from the choices below.

	Daisy
	Brownie
	Junior
	Cadette
	Senior
	Ambassador

*3.

Question - Required - Girl Scout's Age:

*4.

Question - Required - If registering more than one participant, please list the full names of the participants below.

*5.

Question - Required - Troop number:

Question - Not Required - What school or organization is your troop connected with, if any?

(Maximum response 255 chars, approx. 5 rows of text)

*7.

Question - Required - Name of parent/guardian:

(Maximum response 255 chars, approx. 5 rows of text)

*8.

Question - Required - Street address:

(Maximum response 255 chars, approx. 5 rows of text)

*9.

Question - Required - City:

(Maximum response 255 chars, approx. 5 rows of text)

*10.

Question - Required - Zip code:

(Maximum response 255 chars, approx. 5 rows of text)

*11.

Question - Required - Parent/guardian phone number:

(Maximum response 255 chars, approx. 5 rows of text)

*12.

Question - Required - The following demographic questions help us track our work toward diversity, equity, and inclusion, and apply for funding to support our work. Your child's information is being used only for overall reporting and will not in any way affect your eligibility for, or participation in, our programs. What is your child's ethnicity?

*13.

Question - Required - Which race does your child primarily identify with?

*14.

Question - Required - How did you hear about the program?

15.

Question - Not Required - If "other," please share with us where you heard about this program here:

(Maximum response 255 chars, approx. 5 rows of text)

Would you like to receive an email reminder for this event?

Yes, email me a reminder