Girl Scouts Membership Form

Girl Scouts Membership Form

With Girl Scouts, the possibilities are truly endless. Discover all she can be and everything she can accomplish with the right tools and a safe space to shine—and work together to change the world!
Girl Name*

First NameLast Name
Troop Number: (If you don't know a specific troop number you can say "unsure" or "looking for a troop")*
Girl's date of birth*

MonthDayYear
Date
Current Grade Level in Fall of 2025 (Grade she's in for the upcoming ((2025-2026)) school year):*
Name of School Attending (no abbreviations, please)*
Girl Ethnicity*
Girl Race*
Caregiver's Name*

First NameLast Name
Caregiver's relationship with girl*
Caregiver's date of birth*

MonthDayYear
Date
Caregiver Ethnicity*
Caregiver Race*
Caregiver Gender*

MaleFemaleI Choose Not To Share
Were you (caregiver) ever a Girl Scout? Daisy, Brownie, or higher, it all counts!

YesNoUnsure
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are you interested in ways to help?

I'm ready to become a Volunteer now - Sign me up today! (Please select registration below)Don't register me yet, but I would love to learn more about becoming a Volunteer! Please contact me to discuss options and possibility of registering! (Please do NOT select caregiver registration below)Unfortunately I am not interested in volunteering. (Please do NOT select caregiver registration below)
SMS messages from Girl Scouts of Central Indiana could include membership updates, event reminders, and opportunities to get involved. You may text “HELP” for help at any time or text “STOP” to cancel the SMS service at any time. As always, message and data rates may apply for any messages sent to you from us and to us from you. Message frequency varies. View our privacy policy here and SMS terms & conditions here.
By completing membership registration, I affirm that I understand and agree to adhere to Girl Scout Child Abuse Prevention policies and procedures.
Realizing that families have differing abilities to pay, we’ve instituted a voluntary 3-tier pricing program. 
Please take a moment to look at the fee descriptions and determine which of these three prices your family is able and willing to pay. This is strictly voluntary. In no way will the amount paid influence the quality of the experience girls receive.

Girl Scout Membership Form - MY26:*

Girl Registration (2210)Membership through September 30, 2026

$45.00

Girl Registration - Request Financial AssistanceMembership through September 30, 2026

$25.00

Caregiver Volunteer Registration (2210) - select if you're ready to be registered as a troop volunteer now with your girl!Membership through September 30, 2026

$30.00

Caregiver Volunteer Registration - Request Financial Assistance - select if you're ready to be registered as a troop volunteer now with your girl!Membership through September 30, 2026

$15.00

Enter coupon

Total

$0.00

If you indicated that additional financial assistance is needed, please select the PayPal option to complete the form. No payment information will be required at this time. A member of our team will call you to discuss available options and arrange payment to finalize your membership. Membership will not be processed until payment arrangement is made. Calls will come from a number beginning with (317) 924-68**.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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