Girl Membership Form - Summer Troop

Girl Membership Form - Summer Troop
Girl Information
Girl Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
County
Girl Date of birth*

MonthDayYear
Name of school that girl attends:*
School Grade entering Fall 2023
Troop number (type "unsure" if you don't have the troop number, or "looking for a troop" if you are new)*
Demographics/Demografia
Girl Ethnicity:
Girl Race: (Check All That Apply)
She is (Check All That Apply)

American Indian or Alaskan Native/Nativa americana o nativa de AlaskaAsian/AsiáticaBlack or African America/Negra o afroamericanaHawaiian or Pacific Islander/Hawaiana o de las islas del PacíficoHispanic or Latina/Hispana o Latina:White/BlancaOther/Otro (especificar)I choose not to share at this time /Prefiero no responder por el momento
Parent or Guardian Information
Parent or Guardian Name*

First NameLast Name
Parent or Guardian Address (if different from girl)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
Mobile Phone Number*

Area CodePhone Number
Parent or Guardian Date of Birth*

MonthDayYear
Parent/Guardian Ethnicity:
Parent/Guardian Race: (Check All That Apply)
Should be Empty:

Girl Information