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Girl Scout's Name
Address
Parent's/Guardian's Name
Address
e.g. asthma or epilepsy
e.g. physical disabilities, Autism, ASD, ADHD
I give explicit consent to the holding of information about my child's health.
I allow my child to be photographed during Girl Scouts events.
I agree to have my phone number shared with other Girl Scouts parents.

By signing, I agree to the holding of this information and understand the Girl Scouts will not pass information onto third parties without prior permission. The information I have provided is correct as of the date signed.

Clear Signature
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Do you want to register participants in an organized Girl Scouts group? If so, then you need the Girl Scouts Registration Form Template from WPForms.

This form gathers all of the information and permissions needed for registering members, and is easy to use.

How to Use the Girl Scouts Registration Form Template

This template is useful for gathering and filing important information about participants registering for your Girl Scouts group.

First, the form collects the name and address of the potential Girl Scout. It also asks for the birthdate and gender of the Girl Scout, so that you can screen or organize group members as needed.

For the youth Girl Scouts that may have a phone and email address, optional spaces are there for them to provide this information if they’d like. Additionally, the name and phone number for the Girl Scout’s doctor is optional for users to provide on the form.

Next, the name and contact information for a parent or guardian is required. This contact information includes a home address, phone number, and email address.

Then, form users are given optional spaces to describe any of the Girl Scout’s allergies and medical conditions, or additional dietary, physical, or emotional support conditions.

Finally, the form requires permission for holding the Girl Scout’s health information. It also asks for agreement regarding the Girl Scout being photographed at events, and the sharing of phone numbers among group parents.

The form user must also sign and date the Girl Scouts Registration Form before submitting it. This way, you know that the information you are receiving on this form is accurate and current.

Get started with WPForms today to create and customize your own Girl Scouts Registration Form. Signing up with WPForms gives you access to this and hundreds of other pre-made templates.