Membership Form- MY27

  • Welcome to Girl Scouts!

  • Membership Registration Form
    For NEW members of Girl Scouts of Western Ohio
    (Adults and girls in grades K-12 in fall 2026)

    Our Mission: Girl Scouting builds girls of courage, confidence, and character, who make the world a better place.

    Already a member? Renew here.

  • Tell us about you and your girl(s)!
    All personal data provided to Girl Scouts of the USA via this form will be treated in accordance with the GSUSA Privacy Policy.

  • Parent/Caregiver/Adult Information

  • Optional: By completing the following information (as defined by the U.S. Census Bureau), you ensure support and funding for Girl Scouts in your community. Hispanic/Latina is defined as an ethnicity, not a race, and therefore is reported separately. This information is used for statistical purposes only.

  • Parent/Caregiver/Adult Ethnicity
  • Parent/Caregiver/Adult Race
  • Parent/Caregiver/Adult Birthdate*
     - -
  • Format: (000) 000-0000.
  • Adults, please check all that apply:*
  • Which position would you like to volunteer for (if known):
  • Adult/Volunteer Membership; please select one:*
  • Thanks to generous donors, a reduced membership fee is available for adult members who take an active volunteer role required for the troop or group. Please select the amount you are able to pay (select one):*
  • Are you a Girl Scout alum? Were you a Daisy, Brownie, or higher in Girl Scouts? It all counts!
  • How many girls are you registering? (If more than three, please complete a second form.)*

  • Information - Girl #1

  • Girl Birth Date*
     - -
  • Troop preferences (if no troop in mind):

  • Optional: By completing the following information (as defined by the U.S. Census Bureau), you ensure support and funding for Girl Scouts in your community. Hispanic/Latina is defined as an ethnicity, not a race, and therefore is reported separately. This information is used for statistical purposes only.

  • Girl’s Ethnicity
  • Girl's Race
  • Which membership are you purchasing for your girl?*
  • Thanks to the support of our donors, flexible membership fee options are available for girl members. Choose the amount that works best for your family:*

  • Information - Girl #2

  • Girl Birth Date*
     - -
  • Troop preferences (if no troop in mind):

  • Optional: By completing the following information (as defined by the U.S. Census Bureau), you ensure support and funding for Girl Scouts in your community. Hispanic/Latina is defined as an ethnicity, not a race, and therefore is reported separately. This information is used for statistical purposes only.

  • Girl’s Ethnicity
  • Girl's Race
  • Which membership are you purchasing for Girl #2?*
  • Thanks to the support of our donors, flexible membership fee options are available for girl members. For Girl #2 choose the amount that works best for your family:*

  • Information - Girl #3

  • Girl Birth Date*
     - -
  • Troop preferences (if no troop in mind):

  • Optional: By completing the following information (as defined by the U.S. Census Bureau), you ensure support and funding for Girl Scouts in your community. Hispanic/Latina is defined as an ethnicity, not a race, and therefore is reported separately. This information is used for statistical purposes only.

  • Girl’s Ethnicity
  • Girl's Race
  • Which membership are you purchasing for Girl #3?*
  • Thanks to the support of our donors, flexible membership fee options are available for girl members. For Girl #3 choose the amount that works best for your family:*

  • Permissions and Acknowledgements

  • Communication Preferences: I wish to opt in to emails and/or texts to stay informed of Girl Scout activities.*
  • Media Permissions*

  • By completing this form, you acknowledge that:

    • The registrant(s) will accept and abide by the Girl Scout Promise and Law and the registrant(s) have permission to join Girl Scouts.
    • You agree to the GSUSA Privacy Policy and Terms & Conditions.
    • You also affirm that you understand and agree to adhere to the Girl Scouts Abuse Prevention Policies.

  • The Girl Scout Promise

    On my honor, I will try:
       To serve God* and my country,
       To help people at all times,
       And to live by the Girl Scout Law.


    *Members may substitute for the word God in accordance with their own spiritual beliefs.

    GSUSA Terms and Conditions

  • The Girl Scout Law

    I will do my best to be
       honest and fair,
       friendly and helpful,
       considerate and caring,
       courageous and strong,
       and responsible for what I say and do,
       and to respect myself and others,
       respect authority,
       use resources wisely,
       make the world a better place,
       and be a sister to every Girl Scout.

     

  • Optional: Prepare a girl for a lifetime of leadership

    Yes, I will support the next generation of female leaders with a donation to help a girl join and participate in Girl Scouts. 

  • My gift:

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  • Payment Methods

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