Membership Intake Form

Your first name:

Your last name:

Phone number:

Email address:

Your girl’s first name:

Your girl’s last name:

Your girl’s year in school:
—Please choose an option—K1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th grade

Your girl’s school:
—Please choose an option—Akin ElementaryBagdad ElementaryBlock House Creek ElementaryCamacho ElementaryCox ElementaryCypress ElementaryDeer Creek ElementaryFaubion ElementaryGiddens ElementaryGrandview Hills ElementaryKnowles ElementaryLarkspur ElementaryLaura Welch Bush ElementaryMason ElementaryNaumann ElementaryNorth ElementaryParkside ElementaryPlain ElementaryPleasant Hill ElementaryReagan ElementaryReed ElementaryRiver Place ElementaryRiver Ridge ElementaryRutledge ElementarySteiner Ranch ElementaryTarvin ElementaryWestside ElementaryWhiltestone ElementaryWinkley ElementaryHomeschool

Other school:

Would you be interested in serving as a Troop Leader? This is helpful in the event that there are not any openings in current troops.
YesNo

If you have any other information that you’d like to share, please provide that information here.