Girl Scouts in Action Powered by Girl Scouts MY27
This is the registration form for children joining Girl Scouts in Action Powered by Girls Scouts through the School & Community Troop program. Girl Scouts of Wisconsin - Badgerland. www.gsbadgerland.org
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child's Age
*
Child's Grade Fall 2026
*
Please Select
K
1
2
3
4
5
6
7
8
9
10
11
12
What school does your child attend?
*
Which Girls in Action location will your child be attending?
*
Lake View Elementary
Meadowood Neighborhood Center
Wright Middle School- OnePAAT
The Lincoln Academy
Middleton Youth Center
Boys and Girls Club Allied
Mendota Elementary
Vera Court Neighborhood Center
Westside Elementary
Creekside Elementary
Southside/Mann Carey Elementary
Harmony Elementary
Harrison Elementary
Jefferson Elementary
Kennedy Elementary
Washington Elementary
Roosevelt Elementary
Chileda Learning Center
Chileda Shine-Troop 7435
Chileda-Troop 7349
Adams YWCA-Troop 7479
Monroe YWCA-Troop 7485
Van Buren YWCA-Troop 7549
First Presbyterian YWCA-Troop 7557
Parent/Guardian's Name
*
First Name
Last Name
Parent/Guardian's Date of Birth
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Photo/Video Opt in/out
*
Yes, my Girl Scout may be photographed or filmed for Girl Scout publicity purposes
No, my Girl Scout may not be photographed or filmed for Girl Scout publicity purposes
Race/Ethnicity (optional)
If other, please specify:
Type a question
Check this box if you want to OPT OUT of emails
Check this box if you want to OPT OUT of phone calls
Check this box if you want to OPT OUT of texts
Submit
Should be Empty: