Financial Assistance for Girl Program Registration

Financial Assistance for Girl Program Registration
Girl Scouts of Southeast Florida is committed to ensuring that all girls have the opportunity to participate in Girl Scouting. In order to remove financial barriers to participating in Girl Scouts, we offer limited funds to help members who would be unable to participate in Girl Scouts without financial support from GSSEF.

Financial assistance should not be the primary source of funding for members or troops. Troops are encouraged to facilitate girl-led financial planning activities.

Please review the Financial Assistance Guidelines HERE.
By checking the box below, you verify that you have read and understand the guidelines.*

I have read and understand the Financial Assistance Guidelines.
Girl Eligibility Requirement
1. Applicant is a registered girl member of Girl Scouts of Southeast Florida.
2. Applicant would be unable to participate in the activity without financial support from GSSEF.
3. Applicant does not have any outstanding debt owed to GSSEF.
Are you a registered girl member of Girl Scouts of Southeast Florida?*

YesNo
All applicants must be registered girl members of Girl Scouts of Southeast Florida in order to be eligible to apply for financial assistance.

Please click HERE to register as a girl member now. Registration is $60 for an annual girl membership. If you need assistance with your registration, please contact us at email customercare@gssef.org or 561-427-0177.

Girl Applicant Information
Girl Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Girl Date of Birth

MonthDayYear
Date
Name of School Girl Currently Attends
School Grade Girl is Currently In
Girl Scout Troop Number
Phone Number of Adult Filling Out the Application
Please enter a valid phone number.
Email of Adult Filling Out the Application
example@example.com

Program Registration Request

Program registration requests are accepted throughout the year. The maximum allocation per girl per year is $30.
Program Title
Program Start Date

MonthDayYear
Date
Program End Date

MonthDayYear
Date
Program Start Time

Hour Minutes

AM/PM Option
Program End Time

Hour Minutes

AM/PM Option
Program Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Program Cost
Deadline to Register and Pay for Program

MonthDayYear
Date
Who is Providing the Program

GSSEFService Unit
Service Unit Name
Have you received financial assistance for a girl program in the current Girl Scout year (October 1 - September 30)?

YesNo
What was the amount of financial assistance granted?
Did this girl participate in the most recent GSSEF Fall Product Sale Program?

YesNo
Did this girl participate in the most recent GSSEF Cookie Sale Program?

YesNo

Verification and Signature
I verify that I am the adult completing the request for assistance and that the above information is accurate to the best of my knowledge.*

Yes my information is accurate.
Signature of adult completing request (type your name)
Today's Date:*

MonthDayYear
Date
Should be Empty:

Girl Applicant Information