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Girl Scout Participation questionnaire

Thank you for registering as a Girl Scout for the 2012-2013 membership year! Completing this form will be the last step to ensure we have all of the information we need to best serve you.
Girl's name
Adult name
Geographic area
Area Code
Phone Number
Girl's school name (or nearest school)
Girl's grade for 2012-13
Are you already participating in a troop or other pathway as an individual?
Are you still waiting to be placed with a troop?
Are you interested in joining through one of our other pathways? (select all that apply)
If you have any other information or feedback to share, please type into the box below.

Thank you

Thank you for taking the time to complete this form. We will give this information to the Membership Manager for your area and you should hear from them in a few days.

If you have any questions or comments, please contact our local customer support team, 877-404-5708,