GSCI Adult Membership Form

GSCI Adult Membership Form
Adult Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Race
Ethnicity
Gender
Were you (caregiver) ever a Girl Scout? Daisy, Brownie or higher, it all counts!
If you have a Girl already enrolled with Girl Scouts, please enter her name here:
Is there a specific troop you're planning to join? (type "unsure" if that is yet to be determined)
Which volunteer role(s) do you plan to hold?

GSCI Membership for 2026-2027 Membership Year - Valid through September 30, 2027 (2210)

Membership Valid through September 30, 2027

$30.00 Payment Selection

Enter coupon

Total

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. Calls will come from a number beginning with (317) 924-68**.

Debit or Credit Card

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