Free Patch Request Form

Make New Friends - Free Patch Request
When you invite a new friend to join Girl Scouts, you both earn a patch!

Early Bird season is also Extended Year season, when NEW girl members can join Girl Scouts for the rest of this membership year and ALL of next membership year for only $50. When girls recruit a friend to join during extended membership season (deadline to order July 1, 2022) BOTH girls receive the Make New Friends patch.

Your Information

First Name: *

Last Name: *

Troop: *

Preferred Email address: *

Address: *

City: *

State: *

ZIP: *

Your friend's first name: *

Your friend's last name: *

Friend's email address: *

Friend's home address: *

City: *

State: *

ZIP: *

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: *

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Published March 10th, 2022

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