Girl Scouts Western Pennsylvania Member Update Form

Use this form to request changes to your member information, including troop transfers.

Please Note: If you are a troop or service unit requesting these changes for a member in your troop or service unit, Girl Scouts Western Pennsylvania may contact the member to verify certain changes.
Requester's Name:*

First NameLast Name
Requester's Email:*
example@example.com
What change(s) would you like to make? (Check all that apply)*

Name or DOB ChangeContact Info Update (new phone, email, or address)Preferences (opt-ins for emails, texts, mailings, and photo release)School, Grade and Years of Girl Scouting UpdateChange, Add or Remove a Volunteer RoleTroop TransferAreas of Interest? (Adults Only)Additional Information
Name and DOB Change Section:

Complete all information to requst a change of name and/or DOB.
Name:

First NameLast Name
Nickname or Other Name(s) Used:

First NameLast Name
Updated Name:

First NameLast Name
Date of Birth:

MonthDayYear
Date
Contact Info Change Section:

Please note:

1) If you are requesting to make a change of contact information for yourself or someone in your family, you can make the change in the My Household section in your MyGS account.

2) If you are making a change of Primary Contact, the current Primary Contact must contact council at customercare@gswpa.org
Should updated contact information be applied to everyone in the household?*

YesNo
New Phone Number:
Please enter a valid phone number.
New Email:
example@example.com
New Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferences: Don't miss out on important communications from Girl Scouts Western Pennsylvania!:

Email Opt InPhone/Text Opt InPostal Mail Opt In
Give Girl Scouts Western Pennsylvania permission to photograph the member listed on this form and for the photos to be used for promotional purposes: I give consent on my behalf or on behalf of the person I am updating to be interviewed, photographed, videotaped, or electronically imaged when participating in Girl Scout activities for use in promotional materials, news releases, or other published formats by my local Girl Scout council and/or Girl Scouts of the USA. The images will be the sole property of my local Girl Scout council and/or Girl Scouts of the USA. I and my heirs, successors, and assigns hereby release and hold harmless my local Girl Scout council and Girl Scouts of the USA from any claim arising from the use of these materials.

Photo Opt In
Should Preferences be applied to everyone in the household?*

YesNo
School, Grade and Years of Scouting Update Change Section:

Complete the following information to change the school, grade, and/or number of years in Girl Scouting.
Name of School:
Grade:
Number of Years in Girl Scouts:
Change, Add, or Remove a Volunteer Role Section:

Complete all information to update your volunteer position. For some volunteer roles, additional training may be needed before your position is changed.
STOP! To add SU Roles:

Please fill out the Service Unit Team Volunteer Agreement Form.

Service unit team volunteers play an essential role in the success of the service unit by cultivating and carrying out the Girl Scout mission.
Select one of the following:*

Change a Volunteer RoleAdd a Volunteer RoleRemove a Volunteer Role
Current Role Title:
Current Troop/SU Number:
Updated Role Title:
Updated Troop/SU Number:
Additional Role Title:
Additional Troop/SU Number:
Role Title to Remove:
Troop/SU Number to Remove:
Troop Transfer Section:

Complete the following information to transfer troops for a one or more members.
Please provide the member's name, current troop number, and new troop number in the space below:
Do you have permission from a troop leader to transfer to the troop?*

YesNo
Areas of Interest (Adult Only):

Use this section to inform council of any areas of interest that you may have.
Areas of Interest (Adult Only) Check all that Apply:

AnimalsArtAutomotive EngineeringBusiness Start-UpCampingCareer PlanningCollege PrepCookingCraftsCybersecurityDigital ArtsDYIEngineeringFinanceFirst AidGame (non-sport)General ScienceGeocachingGirl Scout TraditionsHealthy LivingHikingInvestigationLetterboxingMarketingMathMechanicalNature/OutdoorsPerforming ArtsRoboticsSnow/Trail AdventureSportsSTEM CareersStorytellingSwimmingTravel
Additional Information Section:

Pleasae add any additioanl information that you would like council to be informed of:
Additional Information:
Are you a council staff member filling out this form?:*

YesNo
Name of Council Staff Member Filled out Form:

First NameLast Name
Should be Empty:

Use this form to request changes to your member information, including troop transfers.