Wufoo
ADULT REGISTRATION OR RENEWAL FORM
Annual Adult Membership (12 months, $25)
or
Extended Year Membership (18 month, $35)
You will be redirected to pay by credit card or paypal as soon as this form is submitted. Please be prepared to make payment as soon as you submit this form.
Please remember that memberships are non-refundable or transferable. If you have questions please contact overseascustomercare@girlscouts.org.
Select your membership option
New Annual Membership 2024 (valid 10/1/23-9/30/24)
Renew Annual Membership 2025 (valid 10/1/24-9/30/25)
New Extended Year Membership partial 2024 & 2025 (valid 4/1/24-9/30/25)
Country of residence (EX: Germany)
*
City of residence (EX: Wiesbaden)
*
Adult Information
Name
*
First
Last
Date of Birth
*
MM
/
DD
/
YYYY
Ethnicity
*
Select One
Hispanic
Non-Hispanic
I choose not to share
Race (select all that are applicable)
*
Am. Indian or Alaskan Native
Asian
Black or African American
Hawaiian or Pacific Islander
White
Other races
I choose not to share
Email address
*
must be a valid email
Home phone number (please include country code)
*
Why are you overseas?
*
Select one
Job assignment
Permanent resident
Local national
Military post
Other
Other - why are you overseas
*
If not US military, please identify your employer
*
Military post
*
Air Force
Army
Coast Guard
Marines
Navy
DoD
NA
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
----
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR China
Republic of North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
An APO address is preferred if you have one.
Troop number (if known)
What is your volunteer role?
*
Select one
Friends and Family (help out as needed)
leader or co-leader
I am on the OCMT
Juliette/IRG Mentor
I am unsure of my role
Best Time to Call / Your Time Zone
VALID Email address of person providing payment for this membership
*
Confirm if you would like to receive e-mails from USAGSO.
Opt-in, Yes, send me e-mails.
Opt-out, No, don't send me e-mails
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