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Home » Forms » Centennial Girl Celebration Take Action Form

Take Action Project application for girls in grades 5-12


On March 31, 2012, at the Westchester County Center (198 Central Avenue, White Plains, NY 10606), we will be celebrating our 100th Anniversary for all Girl Scout Heart of the Hudson members. Please complete the form below on or before Thursday, March 1, 2012 if you are interested in hosting a girl centered hands-on take action project using one of the 8 themes below.


• Forever Green: a national effort of girls leading their families, schools, and communities in improving the environment and protecting natural resources.
• Science
• Technology
• Engineering
• Mathematics
• It’s Your Planet Love It!
• It’s Your World Change It!
• It’s Your Story Tell It!


Below please provide a description of your Take Action project and identify which of the 8 themes it falls under. Each project will be allotted one table.


Project Description
Name of Girl Lead(s)
Participant Type Individual Member
Troop/Group
Troop Number
Service Unit
Girl Email Address
Phone Number
Best Time to Call
Name of Adult Advisor
Adult Adviser Email
Adult Adviser Phone
Best time to call Adult Adviser
Human check
Enter the above six characters into the field below.
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