Girl Scouts Membership Form

Girl Scouts Membership Form

With Girl Scouts, the possibilities are truly endless. Discover all she can be and everything she can accomplish with the right tools and a safe space to shine—and work together to change the world!
Girl Name *

First Name Last Name
Troop Number: (If you don't know a specific troop number you can say "unsure" or "looking for a troop") *
Girl's date of birth *

Month Day Year
Date
Grade Level in Fall of 2022: *

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade
School Attending in the Fall (no abbreviations, please) *
Zip code of School (if known)
Girl Ethnicity *
Girl Race *
Caregiver's Name *

First Name Last Name
Caregiver's relationship with girl *
Caregiver's date of birth *

Month Day Year
Date
Caregiver Ethnicity *
Caregiver Race *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
County *
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
I'm interested in ways to help!

I'm ready to become a Volunteer now - Sign me up! I would love to learn more about becoming a Volunteer!
How did you hear about us?

Facebook Postcard School Flyer / Advertisement TV / Radio Other

Registration Selection: (If you select Financial Assistance you are not required to enter your payment information)

Girl Registration

$ 25.00

Girl Registration - Request Financial Assistance

Free

Caregiver Volunteer Registration

$ 25.00

Caregiver Volunteer Registration - Request Financial Assistance

Free

Total

$ 0.00

Payment Method