Tell Us About You and Your Girl!
Girl Scout membership is available to all girls in grades K to 12. Pre-K girls are eligible to join beginning April 1st of the calendar year they will enter kindergarten. Girl Scout membership is good through 9/30/2025.
Already a member? Renew
here
.
Caregiver Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Were you a Girl Scout? Daisy, Brownie, or higher - it all counts.
Yes
No
Caregiver Ethnicity
*
Please Select
Hispanic
Non-Hispanic
I choose not to share.
Staff Only - Family did not report ethnicity.
Caregiver Race (Check all that apply.)
*
American Indian or Alaskan Native
Asian
Black or African American
Hawaiian or Pacific Islander
White
Other Races
I choose not to share.
Staff Only - Family did not report race.
Caregiver's Gender
*
Please Select
Female
Male
I choose not to share.
Caregiver's Birth Date
*
-
Month
-
Day
Year
Date
Phone Number
*
E-mail
*
example@example.com
Caregiver's Relationship to Girl
*
Please Select
Parent
Grandparent
Guardian
Aunt
Uncle
Step-Parent
Sibling
Other
Girl's Grade - If today is BEFORE June 1, enter the grade they are attending. If today is June 1 or after, enter the grade they will be going to.
*
Please Select
Pre-K - Will start kindergarten in Fall 2024.
Pre-K - Will NOT start kindergarten in Fall 2024.
K
1
2
3
4
5
6
7
8
9
10
11
12
Girls entering Kindergarten in Fall 2024 are eligible to join Girl Scouts starting April 1st. Would you like us to register your girl then or would you like to wait until fall.
*
Register my girl in April! She's so excited!!
We're still deciding, please send me more information.
Girls that are not entering Kindergarten in 2024 are not eligible yet. Would you like to be contacted when your girl is eligible?
*
Yes, she'll start kindergarten in Fall 2025.
No, we'll reconsider on our own.
Girl's Full Name
*
First Name
Last Name
Girl's Ethnicity
*
Please Select
Hispanic
Non-Hispanic
I choose not to share.
Staff Only - Family did not report ethnicity.
Girl's Race (Check all that apply.)
*
American Indian or Alaskan Native
Asian
Black or African American
Hawaiian or Pacific Islander
White
Other Races
I choose not to share.
Staff Only - Family did not report race.
Girl's Birth Date
*
-
Month
-
Day
Year
Date
Girl's School Attending - If today is BEFORE August 1, enter the school they are attending. If today is August 1 or after, enter the school they will be going to.
*
Enter School's Name Ex. Juliette Lowe Elementary
Girl's School Attending in Fall 2024
*
Enter School's Name Example: Juliette Lowe Elementary
Early Bird T-Shirt Reward - Please select your girl's size.
*
YS
YM
YL
AS
AM
AL
AXL
A2XL
A3XL
Troop Desired - Please list the troop number, troop leader's name, or a girl's name that you want to be in a troop with, if known. Don't have any of this information, just let us know what you're looking for: close to home, at school, church, etc.
Power the Promise
Girl Scouts of Kentuckiana has pledged that finances will not be a barrier to joining! This year, our community has stepped up to help us Power the Promise and make Girl Scouts accessible to all girls.
Need Assistance? Enter "Power" as the coupon code below.
Credit Card Payment: This form prompts you to pay via PayPal when you click submit. PayPal will open in a new window. You may pay with a credit card, a PayPal account is not required.
*
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Girl Membership
Girl Membership from Today until 9/30/2025
$
50.00
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