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*	Indiana
		Zip*
Home Phone *		E-mail Address *
Work Phone