Central Delaware County Interest Form

For more information about Girl Scouts in your area, complete the form below. You'll be redirected to learn more about events and opportunities, and a staff member will follow up. For further questions, contact Deirdra Rockemore, Community Engagement Specialist, by phone at 267-908-1512 or 267-317-9907 or email drockemore@gsep.org.

Your First Name Parent's First Name is required. 0/100

Your Last Name Parent's Last Name is required. 0/100

Your Email Address Parent's Email Address is required. 0/100

Street Address 0/100

City 0/100

State

Country

ZIP Code Please enter 5-digit ZIP code. 0/30

Phone Number Please enter a valid phone number. 0/0

Mobile Number Please enter a valid phone number. 0/0

SMS opt in - standard data and text messaging rates apply (optional)

Girl First Name 0/100

Girl Last Name 0/100

School 0/100

Please tell us which event you are going to! 0/2000

I am currently a Girl Scout or adult member.