Membership Numeral Guard and Volunteer Years of Service Pin Request Form

"On My Honor"

Due to changing registrations systems over the years, we are unable to look up membership and volunteer years at the GSUSA or Council level. Please use the form below to let us know which pin you are due for. 

Contact Information

First Name: *

Last Name: *

Email: *

Phone:

Street Address: *

Address Line 2:

City: *

State *

Zip Code: *

Membership Numeral Guard

This pin indicates the total number of years as a registered member of Girl Scouts, including girl and adult years. The pin comes in 5-year increments and GSNorCal will recognize individuals with 30 years or more at the annual Adult Recognition Events.

Membership Numeral Guard

Volunteer Years of Service Pin

Recognizes a registered adult member for the numbers of years as an active volunteer. Individuals with 30 years and above will be recognized at the annual Adult Recognition Events. The pin comes in 5-year increments from 5-40 years and then in 10-year increments from 40-60 years. While there is not an official pin for over 60 years, please let us know so we can recognize you for your service to Girl Scouts.

Volunteer Years of Service

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. *

Published February, 12th 2024