Patch Programs Order Form
Complete the form and submit payment to order available patches from our Patch Programs. Please allow up to 30 days for delivery of patches.
Select the option that applies:
*
I am a Girl Scout with Dakota Horizons
I am not currently a Girl Scout
I am a Girl Scout with another council
Troop Number
*
Grade Level for 2024-2025 (select all that apply)
*
Daisy (K-1)
Brownie (2-3)
Junior (4-5)
Cadette (6-8)
Senior (9-10)
Ambassador (11-12)
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Five Festive Sense Patch
Cookie Rally Patch
Pandamonium Patch
Acorns & Oaks
Salute to Juliette Patch
FARE (Food Allergy)
Back to Troop Patch
Be Elephantastic Patch
Smile Squad Patch
S'more Fun for Leaders (Main Patch + Explorer Log)
S'more Fun for Leaders (Main Patch + Adventurer Log)
S'more Fun for Leaders (Main Patch + Master of Outdoors Log)
Hiking Challenge Patch (Available until September 30)
Outdoor Skills (Patch and 9 Charms) (Available until September 30)
Road Trip Patch (Available until September 30)
Earth Hour Patch
Girl Scout Week Patch
Trash the Trash
Calculation
Patches
*
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( X )
USD
Patch Programs
Payment Methods
Debit or Credit Card
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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