Welcome to the Girl Scouts: Lenni-Lenape Council, Inc.

Andover Service Unit

Girl Scout Membership Interest Application

LENNI-LENAPE GIRL SCOUT COUNCIL, INC.

Girl And Adult Interest Indicator

Please note, Troop placement for girls is subject to the availability of Adult Volunteers in your community.

Girl's Name:

Phone # : (please include your area code)

Street Address :

City: State: Zip Code:

Girl's Grade in September: Birthdate:

School Attending:

Was the Girl previously a Girl Scout?: Yes No

Parent/Guardian Name:

Parent/Guardian Phone #: (please include your area code)

School District:

ADULTS: PLEASE HELP MAKE GIRL SCOUTING POSSIBLE

Select the position in which you will volunteer:

(training and support provided)

Adult's Name: Phone #: (include area code)

Street Address:

City: State: Zip Code:

"Girl Scouts" and other GIRL SCOUT Trademarks are registered trademarks of
Girl Scouts of the USA and are used herein pursuant to license.