Girl Scout Interest Form
After completing the information below, you will be contacted by a Girl Scouts-Tribal Trail Council staff member. Any girl who is between five and 17 years old can become a Gril Scout by accepting the
Girl Scout Promise and Law and paying the $10 membership dues.
Please fill out the information below.
Items marked with * are required .
Girl's Name *    Age*    
Parent/Adult's Name *   Grade *   
Your School *   Nearest Public School *  
Address *   
City*    State*   
Zip*   
Home Phone *    E-mail Address *  
Work Phone