Girl Scouts of Greater Chicago and Northwest Indiana Girl Membership Registration
GIRL SCOUT MISSION
Girl Scouting builds girls of courage, confidence, and character, who make the world a better place.

eSubmit is for new and returning members of Girl Scouts of Greater Chicago and Northwest Indiana to register for the 2013-14 membership year.  If you do not live in our area, please use the GSUSA Council Finder to locate the Girl Scout Council near you.
 
You, as a parent or legal guardian, may sign up girls in grades K-12 on this form.

Getting Started: Registering Your Girl Scout

If you are new to Girl Scouts and prefer a troop setting, we will make every attempt to place your daughter in a community-based troop as one becomes available. In the meantime, please encourage her to get involved with Girl Scouting by participating in our council-wide events.

*Individual Girl Scouts (aka Juliettes) are non-troop affiliated girls at all grade levels, and participate in Girl Scouting through events, series, camp, travel and many other wonderful opportunities.  These include teen girls working on their Girl Scout Gold and Silver Awards on their own.

Girl Information

Demographics

Girl Scouts respects and welcomes people from all backgrounds and abilities. By completing the following information (as defined by the US Census), you ensure support and funding for girls in your community. Hispanic/Latina is defined as an ethnicity, not a race, therefore is reported separately. This information is used for statistical purposes only.
Your Girl
Scout's Birthday:
 
 

Parent/Guardian (1) Information

You must put your own information
A copy of your receipt/confirmation will be sent to this email address.

Parent/Guardian (2) Information

Family Partnership

YES! I would like to make a donation today that directly benefits girls in our area. Please accept my tax-deductible donation in the amount of (check only one):
Click here to learn more about Family Partnership.

Interest

Permissions

 
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.
 

 
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.
When making the GS Promise, individual members may substitute wording appropriate to their own spiritual beliefs for the word “God.”
 

I/We acknowledge that the registrant will accept and abide by the Girl Scout Promise and Law. The registrant has permission to join Girl Scouts.
 

Media Permission When participating in Girl Scout activities you and your Girl Scout may be photographed for print, videotaped, or electronically imaged. Images may be used in promotional materials, news releases, and other published formats for either the local Girl Scout Councils or Girl Scouts of the USA. The images will be the sole property of either the local Girl Scout Council or Girl Scouts of the USA.

Please know that by completing this online registration form, you are directly providing and sharing all your data, including girl data with a third party service provider who Girl Scouts of Greater Chicago and Northwest Indiana, Inc. ("GSGCNWI") is working with to process this registration. The third party service provider will share your data with GSGCNWI to use and process in connection with this registration and membership.  By your acceptance below, you acknowledge and agree to hold GSGCNWI harmless from any claims arising from actions or omissions by the third party provider related in any way to the data provided by you.  Further, by your acceptance below, you understand, acknowledge and agree that GSGCNWI will share and use the data provided by you as may be required for any and all membership related purposes and in accordance with GSGCNWI's Privacy Policy.

The $15 GSUSA membership fee is non-refundable or transferable to another person.

You understand and agree that you have read the provisions on this page, including the permissions, and that you are the legal guardian of the Girl Scout you are seeking to register. By signing below, you understand that you are providing a binding electronic signature, that communications regarding your agreement with us will be sent by email to the address you have provided, and that you can elect not to have communications about this agreement sent to you at any time by contacting us at esubmit@girlscoutsgcnwi.org.
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