New Girl Scout Member Registration

New Girl Scout Member Registration
Girl Member Information

Enter information for the Girl being registered.
Girl Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Girl School Grade as of Fall 2025*
Girls must be in Kindergarten - 12th grade to register for Girl Scouts.
Name of School attending in Fall 2025*

Girl Address*

Street Address

Street Address Line 2

CityState

Zip Code
Girl Cell Phone Number
OPTIONAL. Girls must be age 13 or older to include their phone numberFormat: (000) 000-0000.
Girl E-mail
OPTIONAL. Girl must be age 13 or older to include their email. example@example.com

Girl 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.
Girl Ethnicity*
Girl Race*
Information used for demographic purposes only.

Girl Scout Troop
Preferred Troop Number
Enter the troop number you prefer to participate with. Troop number may be found on a flyer or at event attended. Leave blank if your girl will need placement into a troop.
Would you like to add another Girl registration?*

YES, I need to register another Girl MemberNo other girls to register

Girl 2 Member Information

Enter information for the Girl being registered.
Girl 2 Full Name

First NameLast Name
Birth Date (Girl 2)

MonthDayYear
Girl 2 School Grade as of Fall 2025
Girls must be in Kindergarten - 12th grade to register for Girl Scouts.
Name of School attending in Fall 2025 (Girl 2)
Girl 2 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.
Girl 2 Ethnicity
Girl 2 Race
Information used for demographic purposes only.
Girl Scout Troop (Girl 2)
Preferred Troop Number (Girl 2)
Enter the troop number you prefer to participate with. Troop number may be found on a flyer or at event attended. Leave blank if your girl will need placement into a troop.

Primary Parent/Caregiver - please select how you will participate with your girl(s)*

New Registered Adult Member ($42 fee - membership valid through 9/30/27)Non-Member (requires entry of contact information only)
Adult Member & Primary Parent/Caregiver Information

Enter parent/guardian contact information
Parent/Guardian Name*

First NameLast Name
Birth Date*

MonthDayYear
Email*
example@example.com
Parent/Caregiver Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Caregiver Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Girl*
Gender*

FemaleMaleI choose not to share

Primary parent/caregiver address same as girl?*

YESNO
Address (if different from girl address)

Street Address

Street Address Line 2

CityState

Zip Code

Adult Member & Primary Parent/Caregiver 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.
Adult Member & Primary Parent/Caregiver Ethnicity*
Adult Member & Primary Parent/Caregiver Race*
Information used for demographic purposes only.

Become a Girl Scout Volunteer

Girls need caring adult mentors. That can be you! Select how you would like to volunteer for your new Girl Scout. All Girl Scout Volunteers must satisfactorily complete a background check. The background check link will be sent via email when a volunteer role for a specific troop is selected.
I am interested in supporting my new Girl Scout and will volunteer with her troop as:*

Troop Leader (each troop needs two leaders to guide girls through activities)Troop Helper (helps troop leaders guide activities and chaperone girls)Troop Cookie Helper (helps during the Girl Scout Cookie Sale program)I can't commit to being a volunteer at this time

Additional Adult Member & Parent/Caregiver
Add another adult member & parent/caregiver?*

YESNO
Additional Parent/Caregiver - please select how you will participate with your girl*

New Registered Adult Member ($42 fee - membership valid through 9/30/2027)Non-Member (requires entry of contact information only)
Additional Parent/Guardian Name*

First NameLast Name
Additional Parent/Caregiver Birth Date*

MonthDayYear
Additional Parent/Caregiver Email*
example@example.com
Additional Parent/Caregiver Relationship to Girl*
Additional Parent/Caregiver Gender*

FemaleMaleI choose not to share

How did you hear about us?*

Family or FriendWebsiteSocial MediaEventSchool/FlyerOther

MEDIA PERMISSION: I give consent on my behalf and on behalf of the person I am registering to be interviewed, photographed, videotaped, or electronically imaged when participating in Girl Scout activities for use in promotional materials, news releases, or other published formats by my local Girl Scout council and/or Girl Scouts of the USA. The images will be the sole property of my local Girl Scout council and/or Girl Scouts of the USA. I and my heirs, successors and assigns hereby release and hold harmless my local Girl Scout council and Girl Scouts of the USA from any claim arising from the use of these materials.*

YesNo

Please select the total number of Girl and/or Adult memberships purchased to complete registration. Membership is non-transferable and non-refundable.

Girl Membership (Extended Year valid now through September 30, 2027)

$96.00 Quantity
Item subtotal:$0.00

Adult Membership (Extended Year valid now through September 30, 2027)

$42.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

New Girl Scout Member Registration

Girl Member Information

Girl Demographics

Girl Scout Troop

Girl 2 Member Information

Girl 2 Demographics

Girl Scout Troop (Girl 2)

Adult Member & Primary Parent/Caregiver Information

Adult Member & Primary Parent/Caregiver Demographics

Become a Girl Scout Volunteer

Additional Adult Member & Parent/Caregiver