Girl Scout Experience/Grow Box Request Form
Use this form to request GSUSA Girl Scout Experience Boxes or a GSWO Grow Box for new troops.
Name of Volunteer who will be receiving kits for the troop.
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Troop Number
*
Have you been introduced to your Community Development Manager?
*
Yes
No
I don't know
Please select the one that applies to you.
*
We are a new Daisy troop.
We are a new multi-level troop with 4 or more daisies.
We are an existing multi-level troop with 4 or more new daisies.
We are a new multi-level troop with 0-4 new daisies.
We are a new Brownie troop.
We are a new Junior troop.
We are a new Cadette troop.
Mailing Address for Kits
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the maximum number of Daisies you will allow in your troop?
*
Please Select
6-12 Daisies
13-18 Daisies
19-24 Daisies
25-30 Daisies
30+ Daisies
Would you like materials in Spanish?
*
Yes
No
How would you like to pick up your Grow Kit?
*
At your local Girl Scout Service Center
At your next Service Unit meeting
Meet with your CDM locally
Other
Which kit will you be receiving
Did the Girl Scout Experience Box program impact your decision to become a Girl Scout troop leader?
Please Select
1 - No Impact
2 - Slight Impact
3 - Neutral
4 - Positive Impact
5 - Extremely impactful in my decision-making
Please verify that you are human
*
Submit
Should be Empty: