Parent / Caregiver Information Update Form
Parents- please update your family information to make sure your Girl Scout doesn’tmiss out on any troop updates, events, deliveries or fun opportunities. Please take amoment to review and update your contact information.
Primary Caregiver Name
*
First Name
Last Name
Primary caregiver of:
*
List all girls in your Girl Scout “household," separated by commas
Primary Caregiver Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Caregiver Email
*
example@example.com
Secondary Email
example@example.com
Girl Scout's Email
example@example.com
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Would you like to add a secondary address?
*
Yes
No
Secondary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What race/ethnicity do you identify with? (Choose all that apply)
Asian or Pacific Islander
Black or African American
Hispanic or Latino/a
Native American or Alaskan Native
White or Caucasian
Other
Do you have any skills or expertise you are willing to share with your Troop?
Yes
No
Skills (choose all that apply)
Other
Any additional information to share or update?
Submit
Should be Empty: