By filling out the following form, you are submitting your interest in joining Girl Scouts. A Girl Scout representative will contact you within 3-5 business days regarding your potential Girl Scout membership.

Girl Scout Interest Form
Girl's Name *
Please provide full name.
Parent/Guardian's Name *
Please provide your full name.
Girl's Age *
Please provide girl's age.
School *
Please provide name of school.
Grade Level
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Nearest Public School *
Please provide name of nearest public school.
Address *
Please provide your address.
City *
Please provide your city.
State *
Please provide your state.
Zip *
Please provide your zip code.
Primary Phone *
Please provide your primary phone number.
Secondary Phone
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Email *
Please provide your email address.
Type in the characters below Type in the characters below
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