• Alternative Payment Form for Membership/Forma de registro de Girl Scouts

    Girl Scouts of Greater Atlanta welcomes girls and adults in select volunteer roles in any financial situation. In order to remove financial barriers that may interfere with participation, we make funds available to cover membership to ensure that all get the opportunity to experience our quality Girl Scout programming. Girl Scouts of Greater Atlanta da la bienvenida a niñas y adultos en roles voluntarios selectos en cualquier situación financiera. Con el fin de eliminar las barreras financieras que pueden interferir con la participación, ponemos a disposición fondos para cubrir la membresía para garantizar que todos tengan la oportunidad de experimentar nuestra programación de Girl Scouts de calidad.

  • Please use this form if a Check, Cookie Dough, or Financial Aid is required to complete a Girl Scout membership request for a Girl or an Adult.

    Girl Scouts of Greater Atlanta partners with select insurance providers to support membership participation. Individuals covered by PeachState or CareSource are required to upload a clear image of their insurance card as part of the submission process.

    Por favor use este formulario si se requiere un Cheque, Masa de Galletas o Ayuda Financiera para completar una solicitud de membresía de Girl Scout para una Niña o un Adulto.

    Girl Scouts del Gran Atlanta se asocia con proveedores de seguros seleccionados para apoyar la participación en la membresía. Las personas cubiertas por PeachState o CareSource deben subir una imagen clara de su tarjeta de seguro como parte del proceso de envío.

  • Membership Status/Estado de membresia*
  • NEW for PeachState subscribers: Have you received your PSHP voucher?*

  • NOTE: Amerigroup subscribers are required to request a Youth Club Membership Card:

    Benefit eligibility: members ages 6-18 with completed annual well check. One card per member per year.

    • Subscribers can request via the Amerigroup Benefit Rewards Hub, located in member portal: https://member.amerigroup.com/public/login
    • Subscribers will need to log into their secure portal and click on Benefit Rewards Hub.
    • Select Youth Club Membership Card – if eligible.
    • Amerigroup will mail the Youth Club Membership Card within 7-14 days for eligible subscribers.
    • Caregivers will log into MyGS to complete the girl membership using the Youth Club Membership Card.

    For more details on how to request this benefit, Amerigroup members can visit: https://www.myamerigroup.com/ga/your-plan/georgia-families-medicaid.html or call Member Services at 800-600-4441 (TTY 711), Monday through Friday from 7 am to 7 pm EST.

    Youth Club Membership Card is live now; Amerigroup subscribers can call or go online to request.

  • I am able to pay a portion of the annual membership fee, to be mailed to council (5601 North Allen Road SE, Mableton, GA 30126), in the amount of:

  • Girl's Date of Birth/Fecha de nacimiento de la nina*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Girl's Race/Raza de la nina*
  • Girl's Ethnicity/Etnicidad de la nina*
  • Format: (000) 000-0000.
  • Caregiver's Date of Birth/Fecha de nacimiento del encargado*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Caregiver's Race/Raza del encargado*
  • Caregiver's Ethnicity/Etnia del cuidador*

  • Communication/Comunicacion

  • Membership Registration and Acceptance/Registro y aceptacion de miembros

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Peach State subscribers are required to submit a voucher to request a free Girl Scout membership for girls in Kindergarten-12th grade. 

    Qualification Requirement:

    • Qualifying health activities must be completed within the last 12 months or at approved timeframes.
    • Must have completed a vision service plus Flu (Influenza) vaccine
    • Present voucher within the benefit year (July 1, 2026, through February 27, 2027).

    How to Access Benefits: Apply online or contact Member Service at 1-800-704-1484 ; TTY/TDD 1-800-255-0056

    NOTE: This process may take up to 30 days to receive your PSHP voucher.

    Once you receive your PSHP voucher, please use your email confirmation to enter the number.

     

  • Should be Empty: