2023-2024 Extended Year Membership

Registration for Extended Year Membership
Registration for Extended Year Membership

Thank you for your interest in Girl Scouts! We are so excited to have you join us! The Extended Year Membership includes 2023 and 2024 Girl Scout membership, valid through 9/30/2024.

¡Gracias por su interés en Girl Scouts! ¡Estamos muy emocionados de que te unas a nosotros! La Membresía de Año Extendido incluye membresía Girl Scout 2023 y 2024, válida hasta el 30/9/2024.
Membership Status/Estado de membresia*

New Girl Member/Nuevo chica miembroNew Adult Member/Nuevo adulta miembro
How would you like to participate*

Troop/TropaJuliette/Julieta
Troop Number (if known)/si lo sabe
Girl's Name/Nombre de la nina*

First Name/Primer NombreLast Name/Apellido
Adult's Name/Adulta Nombre

First Name/Primer NombreLast Name/Apellido
Girl's Date of Birth/Fecha de nacimiento de la nina*

Month/MesDay/DiaYear/Ano
Adult's Date of Birth/Fecha de nacimiento de la adulta

Month/MesDay/DiaYear/Ano
Girl's Race (Choose all that apply)/Origen racial de la nina (Elija todas las que aplique)*

Am. Indian or Alaskan Native/Indigena Americano o Nativa AlaskaAsian/AsiaticoBlack or African American/Negro/Afro-AmericanoHawaiian or Pacific Islander/Hawaiano o de las Islas del PacificoWhite/BlancoOther RacesMultiple RacesI Choose Not to Share/Elijo no compartir esta informacion
Adult's Race (Choose all that apply)/Origen racial de la adulta

Am. Indian or Alaskan Native/Indigena Americano o Nativa AlaskaAsian/AsiaticoBlack or African American/Negro/Afro-AmericanoHawaiian or Pacific Islander/Hawaiano de las Islas del PacificoWhite/BlancoOther RacesMultiple RacesI Choose Not to Share/Elijo no compartir esta informacion
Girl's Ethnicity/Origen Ethnico de fa nina (escoja uno)*

Hispanic/HispanaNon-Hispanic/No-HispanaI Choose Not to Share/Elijo no compartir esta informacion
Adult's Ethnicity/Origen Ethnico de fa adulta

Hispanic/HispanaNon-Hispanic/No-HispanaI Choose Not to Share/Elijo no compartir esta informacion
Caregiver's Name/Cuidadora Nombre*

First Name/Primer NombreLast Name/Apellido
Caregiver's Primary Phone Number/Cuidadora Numero de telefono*
include area code
Caregiver's E-mail/Correo electronico*
Caregiver's Race (Choose all that apply)/Origen racial de la adulta*

Am. Indian or Alaskan Native/Indigena Americano o Nativa AlaskaAsian/AsiaticoBlack or African American/Negro/Afro-AmericanoHawaiian or Pacific Islander/Hawaiano o de las Islas del PacificoWhite/BlancoOther RacesMultiple RacesI Choose Not to Share/Elijo no compartir esta informacion
Caregiver's Ethnicity/Origen Etnico de la cuidadora*

Hispanic/HispanaNon-Hispanic/No-HispanaI Choose Not to Share/Elijo no compartir esta informacion
Which role(s) at Girl Scouts are you most interested in?
Address/Domicillo*

Street Address/Numero y Nombre de la calle

Street Address Line 2/Numero y Nombre de la calle 2

City/CiudadState / Province / Estado

Postal / Zip Code / Codigo PostalCountry / Pais
County/Condado*
Primary Phone Number/Numero de telefono*
include area code
E-mail/Correo electronico*
example@example.com
Full Name of School Attending/Nombre de la escuela or lugar del sitio de program*
Grade (2023-24 School Year)/ Grado*

Registration for New Member Deal

You're almost done!
Cookie Dough Option

Use Cookie Dough for payment
My Products
prevnext( X )
New Member Deal: 2023-2024 Membership$35.00

Total $0.00
Communication

/Comunicaciones
Opt Out of Text Messaging

I wish to opt out of receiving text messages from Girl Scouts of Greater Atlanta at this time Deseo optar por no recibir mensajes de texto de Girl Scouts of Greater Atlanta en este momento.
Opt Out of Email Messaging

I wish to opt out of receiving email messages from Girl Scouts of Greater Atlanta at this time Deseo optar por no recibir correos electronicos de Girl Scouts of Greater Atlanta en este momento.
Membership Registration and Acceptance

/Registro y Aceptacion de miembros
When participating in Girl Scout activities I may be photographed or videotaped for promotional materials, news releases, and other published formats for either Girl Scouts of Greater Atlanta or Girl Scouts of the USA. The images will be the sole property of Girl Scouts of Greater Atlanta or Girl Scouts of the USA.

I wish to opt out at this time.
I accept and will abide by the Girl Scout Promise and Law/Aceptoy cumplire con la Promesa y Ley de Girl Scouts

Yes, I will
Should be Empty:

Registration for Extended Year Membership

Registration for Extended Year Membership

Registration for New Member Deal

Communication

Membership Registration and Acceptance