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Join Us - Member Information Form

Join Us - Member Information Form

To find out what Girl Scouts has to offer your daughter, complete the Member Information Form below. Your information will be forwarded to the Membership Manager assigned to your area. Girls, please have a parent or adult complete this information for you.

Member Information Form

Parent/Adult Name
Girl's Name
Address
City
State
ZIP/Postal Code
County
E-mail
Home Phone	(Include Area Code, Please)
Cell Phone	(Include Area Code, Please)
Work Phone	(Include Area Code, Please)
Fax	(Include Area Code, Please)
When is the best time to call?
What day(s) of the week are you NOT available to attend troop meetings?
What grade is your daughter in?
School District
School

Image Verification	Please fill out to prevent SPAM

Join Us - Member Information Form

Member Information Form

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