Girl Scout Daisy Launch

Girl Scout Daisy Launch

You've earned your first Girl Scout patch!
Girl's Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Birth *
Month/Date/Year
Grade in Fall 2021 *
Day Care or School your girl attends (now) *
School your girl will attend in Fall 2021 *
Caregiver's Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Have you registered as a member of Girl Scouts of NYPENN Pathways?

Yes No
Please follow this link to complete your registration.

Please note: the BFF patch cannot be earned unless you become a registered member and were referred by a currently registered Girl Scout of NYPENN Pathways.
Did a Girl Scout friend tell you about Girl Scouts and this program? *

Yes, fill out next section completely No
Girl Scout Friend's Name

First Name Last Name
Girl Scout Friend's email
example@example.com
Girl Scout Friend's Troop Number (if known)
Congratulations! Your Girl Scout and her Girl Scout friend have earned half of the BFF Girl Scout Patch!
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