Adult Membership Form

To join Girl Scouts, please fill out the form below. You will be contacted shortly about volunteer opportunities in your area.

If you have any questions, you may call (631) 543-6622 or email membership@gssc.us

First Name
Last Name
Address
Town
Zip
Day Phone #
Evening Phone #
Email Address
Current Occupation
Check Areas Of Interest
Administration
Camp
Finance / Budgeting
Programs / Events
Public Relations / Media
Sports
Training
Troop Leader / Co-Leader
Other (list in Comments)
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