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Expand her world! As a Girl Scout, your girl will try new and exciting things. She’ll explore the outdoors, make friends, grow in confidence, and build skills that will help her in school and beyond.

Backed by trusted adult volunteers, mentors, and millions of alums, Girl Scouts will lead the way as they find their voices and make changes that affect the issues most important to them.

Please take a few minutes and complete the following form. Thank you!

*Includes Girl Scout membership through September 30, 2025!

Who are you purchasing membership for?

GirlAdult

Girl Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Address is the same as the girl. If it is different please complete the below field

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Girl Birth Date*

Date

Grade in Fall 2024*

School in Fall 2024*

Caregiver Name*

First NameLast Name

Adult Name

First NameLast Name

Caregiver Birthdate*

Date

Adult Birthdate

Date

Caregiver Phone Number*

Please enter a valid phone number.

Adult Phone Number

Please enter a valid phone number.

Caregiver Email*

example@example.com

Adult Email

example@example.com

Troop Number (if known)

Girl Scouts respects and welcomes people from all backgrounds and abilities. By completing the following information (as defined by the U.S. Census Bureau), you ensure support and funding for Girl Scouts in your community. Hispanic/Latina is defined as an ethnic¬ity, not a race, and therefore is reported separately. This information is used for statistical purposes only.

Racial Background

Ethnic Background

Hispanic or LatinaNot Hispanic or LatinaI choose not to share.

Are you interested in volunteering?

Yes! I am interested in volunteering.

Anything else you'd like to share?

Type a question

The Girl Scout Promise

On my honor, I will try:

To serve God and my country,

To help people at all times,

And to live by the Girl Scout Law.

When making the Girl Scout Promise,

individual members may substitute

wording appropriate to their own

spiritual beliefs for the word “God.”

The Girl Scout Law

I will do my best to be

honest and fair,

friendly and helpful,

considerate and caring,

courageous and strong, and

responsible for what I say and do,

And to

respect myself and others,

respect authority,

use resources wisely,

make the world a better place, and

be a sister to every Girl Scout.

I agree to all of the above

Media Permission*

I give consent on my behalf and on behalf of the person I am registering to be interviewed, photographed, videotaped, or electronically imaged when participating in Girl Scout activities for use in promotional materials, news releases, or other published formats by my local Girl Scout council and/or Girl Scouts of the USA. The images will be the sole property of my local Girl Scout council and/or Girl Scouts of the USA. I and my heirs, successors and assigns hereby release and hold harmless my local Girl Scout council and Girl Scouts of the USA from any claim arising from the use of these materials.I wish to opt out at this time.

Membership Fee

USDAPD: Membership Contribution

This amount of money would be a hardship for my family, please contact me about financial assistance.

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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For Participation & Grant Information:

Membership: