Gateway Green Usage Request

Gateway Green Usage Request

Please use this form to redeem a Girl Scout's Gateway Green. To apply Gateway Green to multiple options, complete the form and select all the applicable options. Please provide all information needed. Missing information may cause a delay in the use of Gateway Green.
Girl Scout Name*

First NameLast Name
Caregiver Name*

First NameLast Name
Caregiver Email*
example@example.com
Caregiver Phone Number*
Please enter a valid phone number.
Gateway Green Card Number: (Digital Dough Number)
Pin Number: (if applicable)
I am requesting to use my Girl Scout's Gateway Green to: Select all that apply*

Register for a Gateway Council program eventRegister for another council's program or event (Must pay deposit if applicable)Register for a community eventRegister for GSGC Resident Camp (must pay $25 deposit)Register for resident camp at another council (CSA only. Must pay deposit)Purchase items from Resident Camp Trading PostPurchase items from the Gateway Girl Scout shopPurchase items from GSUSA Girl Scout shopUse for GS Destination TripRenew Girl Scout membershipJuliettes requesting something not above (provide details below)Other: Be descriptive below
Date of Program Event, Camp etc.
Name of Program Event (if applicable)
What Community or Council is the event with: (Ex: Gateway, Citrus, Community 7)
Name of Camp session (if applicable)
Name of GS Destination Trip (if applicable)
Link to Program Event or Camp registration page (web URL)
Dates of program, event, camp etc.

MonthDayYear
Date
Shop Details: If using Gateway Green for shop purchase, list items below including item #, size and color, and amount of each item. Please provide one item per line.
Event/Camp Registration Additional Details: List any information needed on registration form (emergency contact, food/medical allergies, T-Shirt size, etc.)
JULIETTES ONLY: For 'other' requests that do not fit above please provide details including dates, specific details, badgework that will be earned and how this ties to Girl Scouts.
JULIETTES ONLY: For travel oriented requests please remember Gateway Green can be only used for the Juliette and chaperone. Please provide direct links and as much details as possible for tickets, hotel, etc. One item per line.
Have questions? Contact the Customer Care Team at 877.764.5237 or by email at customercare@gsgateway.org
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