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Girl Membership Interest Form

We're glad you are interested in joining Girl Scouts! Please complete this form and click on the submit button at the bottom of this form. Please note that girls will be placed in troops near their own neighborhoods or schools depending upon the availability of volunteer leadership. Placement is handled in local areas by our volunteers. A volunteer or staff Membership Manager will contact you once your girl is placed.

Please indicate if you are interested in:

Troop Placement


As an Individual

Tell Us About You

Girl's First Name


Date of Birth



Girl's Middle Name


Name of School Attending


Girl's Last Name


Neighborhood Public Elementary School


School District Name


School District County


Parent/Guardian First Name


Daytime Telephone


Parent/Guardian Middle Name


Evening Telephone


Parent/Guardian Last Name


Best Time to Reach Parent/Guardian


Mailing Address







E-mail Address


Tell Us How You Heard About Girl Scouts





Yard Sign

Bus Ad



Subway Ad



Check All That Apply

We have re-located from another Girl Scout Council

Name of Council

Current Troop Number


Reason For Transfer Request


If You Are Interested in Helping With Your Girl's Troop, Please Select From the Following

Lead or Co-Lead


Assist a Leader

I would like to help with troop activities


Comments or Questions

If you are interested in volunteering as an adult, please read and sign the agreement below:

I understand that I will need to become a registered member of Girl Scouting ($15 fee) and that a background check will be done using my Date of Birth and Social Security Number. This information will be kept confidential. After submitting this form, I understand a staff Membership Manager or Volunteer Service Team Member will be in contact with me.

Please enter your name in the box below for agreement: