Annual Adult Membership Financial Aid Request Form

Girl Scouts is open to all adults who want to volunteer with a troop regardless of their income. We make funds available to support adults who want to volunteer with a Girl Scout troop by providing financial aid for annual membership dues and for background checks.

The annual adult membership fee is $25. Background check fees are typically $11.75.

Please use this form to apply for the $25 annual adult membership financial aid and to start the background check process where you may elect to pay some or zero dollars with financial aid covering the balance.

You will receive an email in 3-5 business days notifying you of next steps after your adult membership financial aid request is processed.

Member Information

Adult's First Name: *

Adult's Last Name: *

Troop # (please enter your five-digit troop number): *

Email Address: *

Phone #: *

Girl's First Name (if applicable): *

Girl's Last Name (if applicable): *

Are You a New or Returning Volunteer? *

New Volunteer

Renewing Volunteer

Please choose a troop volunteer role(s)—you may select more than one *

Do You Have An Additional Troop Number You are Associated With? *

Yes

No

Additional Troop #: * 🛈

Please choose a troop volunteer role(s) for the additional troop—you may select more than one. *

Street Address: *

City: *

State: *

Zip Code: *

Were you a Girl Scout? Daisy, Brownie or Higher—it all counts. *

Yes

No

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 is reported separately. This information is used for statistical purposes only.

Ethnicity: *

Hispanic

Non-Hispanic

I choose not to share

Race: *

Gender: *

Female

Male

Date of Birth * +

Agree to the Girl Scout Promise and Law

By continuing this registration I promise to abide by the Girl Scout Promise and Law. *

Yes

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.

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.

Electronic Signature

Electronic Signature By typing my name on this form, I am entering my "electronic signature" (as defined in The California Uniform Electronic Transactions Act 1633.1 - 1633.17) and certifying that I have read, fully understand and accept all terms of this agreement.

Please type your full name here: *

Published April 1st, 2022

* Please Note: Once you submit this form, you'll have the option to print the form contents on the following page.