Girl Scouts - Dakota Horizons :: FINANCIAL ASSISTANCE APPLICATION

One application per person. May apply more than once. Assistance is available to anyone unable to participate in Girl Scouting due to financial hardship. Parent/guardian completes form for girl. Form must include parent/guardian statement of need to be complete. Guidelines: Applicant must be a registered Girl Scout. Application must be complete to be considered. Assistance based on information provided and availability of funds. Information is confidential.
* Required

PERSONAL INFORMATION














FINANCIAL INFORMATION





FUNDS REQUESTED


Membership Funds



Retail Store Items

Please select one.









Program Fee

Financial assistance not available for trips





Never submit passwords through Google Forms.