JOIN GIRL SCOUTS
Membership Placement Information, Girl Scouts of Gateway Council, Inc.
Girl's Info
Name of Girl
Grade
School Girl Attends
School Closest to Home
Age
Parent's Info
Parent's Name
Your Email Address
Address Line 1
Address Line 2
City
State
Zip Code
Phone Numbers
Home
Cell
Work
More Info
Would you prefer a troop closer to Work or Home?
Work
Home
What day(s) of the week can your daughter NOT meet?
S
M
T
W
T
F
S
How did you hear about joining Girl Scouting?
Parent Involvement Questionnaire
Would you like info on being a Girl Scout Leader?
Yes
No
Would you like info on being an Assistant Girl Scout Leader?
Yes
No
Can you Furnish transportation?
Yes
No
Can you Telephone parents?
Yes
No
Can you Help on field trips?
Yes
No
Can you Help with record keeping?
Yes
No
Can you Assist with fund raisings?
Yes
No
Can you Substitute at troop meetings?
Yes
No
Other Comments
