Patch Programs v2

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.

Find all requirements at https://www.gsdakotahorizons.org/patch
Select the option that applies:*

I am a Girl Scout with Dakota HorizonsI am not currently a Girl ScoutI 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 NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Trash the Trash Patch
Super You Patch
Earth Hour Patch
Cookie Rally Patch
Pandamonium Patch
Girl Scout Week Patch
Upcycle Odyssey Patch
Beat the Winter Blues Patch
Five Festive Sense Patch
Acorns & Oaks
Salute to Juliette Patch
FARE (Food Allergy)
Back to Troop Patch
Be Elephantastic Patch
Smile Squad Patch
Form Calculation
Do Not Use - Pandamonium Patch
Do Not Use - Cookie Rally Patch
View all available patch programs at: https://www.gsdakotahorizons.org/patch
Patches*

prevnext( X )
USDPatch Programs

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Patch Programs Order Form