Girl Scout Membership Form EYM- Child
  • Join Girl Scouts!

    Join Girl Scouts!

  • This form is for new Girl Scout Members. If you are a renewing member, please login at mygs.girlscouts.org to renew your membership.

    If the child you're signing up was enrolled in a Head Start program during the 2025-2026 school year, instead of using this form, please go to girlscouts.org/headstart to sign up for your free membership.
    This form only provides options for the Extended Year Membership (ending Sept 30, 2027). If you would prefer the annual membership only (ending Sept 30, 2026) please reach out to info@gsbadgerland.org for assistance.

  • Member Information

    Please fill out all information in this section for the child(ren) you are registering.
  • Child's Date of Birth:*
     - -
  • Girl Scout Participation:*

  • Child #2

  • Child #2 | Date of Birth:*
     - -
  • Girl Scout Participation for Child #2:*

  • Child #3

  • Child #3 | Date of Birth:*
     - -
  • Girl Scout Participation for Child #3:*

  • Child #4

  • Child #4 | Date of Birth:*
     - -
  • Girl Scout Participation for Child #4:*

  • Demographics

  • 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 ethnicity, not a race, and therefore is reported separately. This information is used for statistical purposes only. 

  • Race (Check all that apply)
  • Ethnicity

  • Child #2

  • Child #2 | Race (Check all that apply)
  • Child #2 | Ethnicity

  • Child #3

  • Child #3 | Race (Check all that apply)
  • Child #3 | Ethnicity

  • Child #4

  • Child #4 | Race (Check all that apply)
  • Child #4 | Ethnicity

  • Parent/Caregiver Information

  • Gender:*
  • Is parent/caregiver’s address same as the child(ren) listed on the previous page?
  • Format: (000) 000-0000.
  • What type of phone number?*
  • Parent/Caregiver Date of Birth:*
     - -
  • Race (Check all that apply)
  • Ethnicity
  • Does this parent/caregiver wish to volunteer with Girl Scouts?
  • How would you like to participate?
  • Being a Troop Leader/Co Leader, Troop Treasurer, or Cookie Support, requires the adult to be a registered Girl Scout. First time volunteers are offered a free membership for their first year volunteering. Do you wish to:
  • Do you wish to enter a secondary parent/caregiver at this time?*

  • Parent/Caregiver #2

  • Is parent/caregiver’s address same as the child(ren) listed on the previous page?*
  • Format: (000) 000-0000.
  • What type of phone number*
  • Secondary Parent/Caregiver Date of Birth:*
     - -
  • Race (Check all that apply)
  • Ethnicity
  • Does this parent/caregiver wish to volunteer with Girl Scouts?
  • How would you like to participate?
  • Being a Troop Leader/Co Leader, Troop Treasurer, or Cookie Support, requires the adult to be a registered Girl Scout. First time volunteers are offered a free membership for their first year volunteering. Do you wish to:

  • Acceptance

  • Girl Scout Mission: Girl Scouting builds girls of courage, confidence, and character, who make the world a better place.

     

    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.

     

    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.

     

    *When making the Girl Scout Promise, individual members may substitute wording appropriate to their own spiritual beliefs for the word "God".   

  • View terms and conditions by visiting https://www.girlscouts.org/en/footer/help/terms-and-conditions.html.

  • Payment Information

  • Payments (Dues) are not refundable or transferable to another person.

  • Payment (Check one option below and choose the number of children you are registering):”*

    prevnext( X )
          Membership Only

          Youth Extended Year Membership valid through September 30, 2027. Price includes the membership fee and council service fee. 

          $105.00
            
          New Member Bundle

          Youth Extended Year Membership valid through September 30, 2027, plus an exclusive T-shirt to tie-dye at the New Member Party on July 25. Bundle details can be found here.

          $120.00
            
          Scholarship for Membership.

          Scholarships are available to help cover membership fees, uniforms and more for families who need financial assistance. Please select this option to request a scholarship for membership fees and complete the additional details below. 

          $ Free
            
          Total
          $0.00
        • Rows

        • Scholarship Request

          Girl Scouting is open to all children and adults regardless of their ability to pay. Badgerland is proud to provide scholarships to families who wish to participate in Girl Scouting thanks to gifts from local United Ways, grants, foundations and individual donors. Please fill out the information below to complete your scholarship request.
        • In addition to scholarship for the membership fees, I would also like to request scholarship for the following uniform items. (Please note: If you attended a recruitment event you may have already received a tunic/sash, American flag patch, and council ID at the event. If you have already received these items you do not need to request them here.)
        • Size of Tunic
        • Size of Sash

        • Payment Methods

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

        • Should be Empty: