Patch Programs v2

Patch Programs Order Form
Complete the form and submit payment to order available patches from our Patch Programs. Patch program requirements will be sent to you via email.

Please allow up to 30 days for delivery of patches.
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 2025-2026 (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
Weather Wonders (Includes, requirements, patch, and live event)
Un-ferret-gettably Fierce (Includes requirements, patch, and live event)
Cookie Rally (Incudes requirements, patch, and live event)
Girl Scoutsgiving (Includes requirements, patch, and live event)
Spooky STEM (Includes requirements, patch, and live event recording)
Un-bear-lievably Brave (Includes requirements, patch, and live event recording)
Stylish Artist
Super You Patch
Smile Squad Patch
Acorns & Oaks
Five Festive Sense Patch
Sweet Treats
FARE (Food Allergy)
Trash the Trash Patch
Earth Hour Patch
Cookie Rally Patch
Pandamonium Patch
Girl Scout Week Patch
Upcycle Odyssey Patch
Beat the Winter Blues Patch
Salute to Juliette Patch
Be Elephantastic Patch
Promo Code
Retired Patch Quantity
Specify the patch(es) you are purchasing. If multiple patches, please specify quantity of each style.
Retired Patch Total
Promo code applied!
Promo Savings
Form Calculation
Total
Patches

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USDPatch Programs

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Patch Programs Order Form