$5 New Girl Scout Membership
Big adventures, exciting discoveries, and new friends are just the beginning. Let her imagination lead the way as she explores new trails with Girl Scouts!
Membership is for the remainder of the current Girl Scout year, through September 2025.
Refunds not provided for previously purchased memberships. This promotion is available from December 1, 2024 through January 31, 2025.
Child's Name
*
First Name
Last Name
Member Date of Birth
*
-
Month
-
Day
Year
Date
Is the registrant a girl or adult?
*
Girl
Adult
I confirm I am registering a new youth member and understand this form cannot be used for renewing a membership.
*
I confirm.
Grade Level for 2024-2025.
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Caregiver Name
*
First Name
Last Name
Caregiver Date of Birth
*
-
Month
-
Day
Year
Date
School
*
Race
*
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Hawaiian or Pacific Islander
White
Other
I choose not to share
Ethnicity
*
Please Select
Hispanic
Non-Hispanic
I choose not to share
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
I would like assistance finding a troop:
Yes, someone from Girl Scouts can reach out to me at the phone number and email I provided above.
No, I have a troop number and will provide it below.
Troop Number
Purchaser's Name
First Name
Last Name
Department Code - Internal Use Only
Membership Payment
*
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Girl Scout Membership
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