Change Membership and Troop/Council Transfer Form

CURRENT COUNCIL
Current Council Name
Impacted Member(s)

Other
Impacted Member Name

First NameLast Name
Member's GSUSA ID
Person Completing Form
Primary Phone Number

Area CodePhone Number
E-mail Address
Previous Address (Transferring From)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Council Comments/Questions
Troop Number Transferring From
New Troop Number
Updated Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Updated School (if applicable)
Updated Grade (if applicable)
Troop Transfer Comments
NEW COUNCIL
New Council Name
New Troop Number (if known)
New Address (Transferring To)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
New School
Grade
New Council Comments/Questions
Should be Empty: