Adult Membership

Type of Membership

Contact Information

Date of Birth


Girl Scouts respects and welcomes people from all backgrounds and abilities. By completing the following information (as defined by the U.S. Census Bureau), you ensure support and funding for girls in your community.
Hispanic/Latina is defined as an ethnicity, not a race, therefore reported separately. This information is used for statistical purposes only.
I am *
I am Hispanic or Latina *
Gender *


I will be participating in Girl Scouting as (check all that apply)

Membership Fee

Financial Aid Needed *
Annual Membership fee is $25
(Good through September 30, 2021)

Family Partners

YES! I would like to make a donation today that directly benefits girls in our area. 

Select one:


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 Girl Scout Promise,
individual members may substitute
wording appropriate to their own spiritual
beliefs for the word “God.”
Media Permission
When participating in Girl Scout activities, I (or the person I am registering) give consent to be interviewed, photographed, videotaped, or electronically imaged for the purposes of promotional materials, news releases, or other published formats for either the local Girl Scout council or Girl Scouts of the USA.  The images will be the sole property of the local Girl Scout council or Girl Scouts of the USA. I hereby release and hold harmless the local Girl Scout council and Girl Scouts of the USA from any claim arising from the use of these images.
 Fees are not refundable or transferable to another person.


I am not a robot