Palo Alto Girl Scouts

Membership Interest Form

4 Dec 2008

Please fill all the information below so we can try to connect you with a troop in Palo Alto. Girls under 18 must get parent or guardian permission first. Prospective adult volunteers can use this form and/or the Adult Volunteer Registration (PDF) form. Required fields will have [red borders]. Click the Send My Information button at the bottom to submit the form when complete.

Girl Information
First Name: Tell us what you are called, your "given" name. You can put a middle name here, too.
Last Name: Tell us your last or "family" name.
Street Address: Enter the street number & name, apartment number, etc. where you live.
City: Enter the name of the city where you live.
 State:
 Zip Code: Enter the postal Zip Code where you live.
Age: How many years old are you?
 Grade:What grade are you in at school? School: What school do you attend?
Comments: Tell us about any special interests, needs, school situation, schedule, questions, etc.

Adult Information
First Name: Parent or Guardian's first or given name.
 Last Name: Parent or Guardian's last or family name.
Phone: What is the best number at which to reach you?
 Email: We will use this address to acknowledge receipt of your information.
Street Address: Enter your mailing address if different from girl's.
City: City of your mailing address.
 State:
 Zip Code: Zip Code of your mailing address.
Parent/Guardian: Check if your girl wants to join a troop.
Adult Volunteer: Check if you are interested to become an adult volunteer yourself.
Comments: Special needs or interests? Best way to reach you? Best time to call? What else should we know about you or your girl?
Information submitted on this form will only be used to connect you with Girl Scout programs and opportunities. We NEVER sell, rent, lend, or otherwise make this information available to third parties.