2021 Cookie Program - GSE Missing Birthday Patch

Is your Girl Scout missing her Birthday patch?

Did your Girl Scout participate in the 2020 Cookie Program?*

Yes No

Please choose one.

Thank you for inquiring about the Birthday Patch. In order to receive the birthday patch, your Girl Scout must have participated in the 2020 Cookie Program.

Is your Girl Scout's birthday AFTER October 1, 2020?

Yes No

Please choose one.

Please tell us the month and day of your Girl Scout's Birthday:*

Thank you for inquiring about the Birthday Patch. Birthday patches coincide with the Girl Scout Membership year. If your Girl Scout's birthday was prior to October 1, 2020; she will receive her patch in 2021.

Your Troop Number

Girl Scout's Name*

First Name

Last Name

Parent/Caregiver Name*

First Name

Last Name

Parent/Caregiver Email*

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code