Girl Scouts San Diego After-School Clubs Registration- SDUSD

Girl Scouts San Diego After-School Clubs Registration- SDUSD
Para ver este formulario en español, haga clic en el botón "English (United States)" en la esquina superior derecha y seleccione "Español".

Thank you for your interest in Girl Scouts San Diego's After-School Clubs at SDUSD schools! Please complete this form to register your Girl Scout for participation in their school's after-school club. This information will help us ensure we have accurate contact details and pickup information to support your Girl Scout's experience. The form should be completed by a parent or guardian. You may register more than one Girl Scout by submitting the form one time for each Girl Scout, and all information provided will be used solely for program registration, communication, and safety purposes.

Submission of this form does not guarantee placement; families will receive follow-up communication regarding enrollment status, program details, and any additional steps required to participate.

We look forward to providing your Girl Scout with opportunities to build confidence, develop leadership skills, make new friends, and discover new interests through Girl Scout San Diego After-School Clubs!

For more information, please visit: www.sdgirlscouts.org/en/get-involved/after-school-clubs.html

Questions? Please email customercare@sdgirlscouts.org.When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.
Girl Scout's Full Name

First NameLast Name
Girl Scout's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please select your school
Girl Scout's Grade
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Girl Scout is under custodial care of:
If other is selected, please specify who the Girl Scout is under the care of here
Primary Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Other than Parent/Guardian
Emergency Contact Name (other than parent/guardian)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Girl Scout Membership
My Girl Scout has permission to participate in Girl Scouts. I acknowledge they will learn the Girl Scout Promise and accept the Girl Scout Law (visit www.girlscouts.org/mission). I understand that Girl Scouts of the USA requires membership dues. Annual membership dues for 2027 are $65 for girls.

To register, please visit: www.sdgirlscouts.org/en/get-involved/join.html

Please note: Girl Scouts San Diego is committed to ensuring that all Girl Scout members can participate in Girl Scouting, regardless of socioeconomic status. Financial assistance is part of our organization’s continued investment in providing leadership experiences for girls. Approved assistance can be applied towards the following eligible expenses: GSUSA uniform (sash, vest, tunic), GSUSA insignia (council ID, flag, troop numbers, insignia tab, membership pin, WAGGGS pin), and GSUSA membership dues**.

**To request financial assistance for Girl Scout membership, complete the membership registration. At checkout, under "Choose a payment type" select "Financial Aid" in the drop-down menu.
Parent/Guardian Signature
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Girl Scouts San Diego After-School Clubs Registration- SDUSD

Primary Parent/Guardian Information

Secondary Parent/Guardian Information

Emergency Contact Other than Parent/Guardian

Program Questions

Girl Scout Membership