On Site Portal Payment for New Memberships

On Site Portal Payment for New Memberships

This form must be accompanied by paper registration form(s)
Parent Name*

First NameLast Name
Are you signing up to be a Troop Leader?
Girl Name*

First NameLast Name
Troop Number(if known) or additional notes
Email
example@example.com
Please note that the prices on this form reflect the totals after the Bridge to Membership Fund promo codes. If you would like to opt of using the BTMF gift, please complete a Paper form and email to reghelp@girlscouts.org to complete payment.

My Products*

Girl Scout MY26 (orginal price $45) Girl Membership (October 1, 2025 - September 30, 2026)

$25.00 Quantity

Adult MY26 (Original Price $30)Adult Membership (October 1, 2025 - September 30, 2026)

$25.00 Quantity

Girl Scout Extended year (Original Price $63)Girl Membership (April 1, 2025 - September 30, 2026)

$43.00 Quantity

Adult Extended Year (Original Price $42) Adult Membership (April 1, 2025 - September 30, 2026)

$37.00 Quantity

Total

$0.00