Rockford Girl Scouts

I Want to be a Girl Scout!

Complete the following form:

How many girls are interested in becoming Girl Scouts?
1
2
3 or more
What Age Level are you interested in?
Daisy - Kindergarten and 1st grades
Brownie - 2nd and 3rd grades
Junior - 4th and 5th grades

Cadette - 6th, 7th and 8th grades
Senior - 9th and 10th grades
Ambassadors - 11th and 12th grades
Not Sure

What Grade(s) is your Daughter in?
*Required
What school will/does your daughter attend?
Assumption
Belmont
Cannonsburg
Chandler Woods
Crestwood
Lakes
Meadowridge
Our Lady of Consolation
Parkside
Rockford Christian
Roguewood
Valley View
East Rockford Middle School
North Rockford Middle School
Rockford Freshman Center
Rockford High School
Do you have any questions or special concerns?
How would you like to become involved in your daughter's Girl Scout Experience?
I am interested in becoming a Troop Leader.
I would like to assist the Troop Leader(s) in the following ways:
Troop Cookie Parent
Paperwork
Finding resources
Organizing outings
Phone calls
Shopping
Chaperoning
Driving
Troop finances
Opening your home for meetings or special get togethers
Babysitting Leader's children during Troop and/or Leader Meetings
Other - Please note below!

You will be contacted by a member of our Service Team. Please let us know how best to reach you. Please note the *Required fields!

Name:
*Required
Email:
*Required
Phone Number:
*Required
Best Time to Call:
*Required