Transfer/Change of membership information

INSTRUCTIONS

1.  Complete Section 1 with previous council name and/or previous contact information, grade, troop number

2.  If the GSUSA ID number or the previous council number is not known, the member's address where she/he is currently registered must be provided

3.  Complete Section 2 completely

4.  Return the completed form (pdf) to your membership manager

 

Transfer/Change of membership information

Section 1: Current Registration Information

Member ID #:
Council Name:
Phone:
Area Code
Phone Number
Check one:
Member Name:
Grade:
School:
Troop #:
Service Unit #:
Address:
Street Address
Apt./Ste.
City
State
Postal Code

Section 2: New Changes to Member Information

Council Name:
Phone:
Area Code
Phone Number
Troop #:
Service Unit #:
Grade:
School:
Home Phone:
Area Code
Phone Number
Work Phone:
Area Code
Phone Number
Cell Phone:
Area Code
Phone Number
Address:
Street Address
Apt./Ste.
City
State
Postal Code
Girl's Birthdate:
MM
DD
YYYY
Adult Position Code:
Custodial Care: (check one)
Parent/Legal Guardian's Name:
First
Last
Parent/Legal Guardian's Phone:
Area Code
Phone Number
Email Address (parent/guardian):
Racial/Ethnic Background

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