EmailMe Form - C.R.E.A.T.E. Healthy Relationships

C.R.E.A.T.E. Healthy Relationships - Patch Request

Congratulations! You have completed all 3 steps (6 Activities) required to receive your C.R.E.A.T.E. Healthy Relationships Patch! The C.R.E.A.T.E. Healthy Relationships Patch Program requirements give Girl Scouts the opportunity to learn what Healthy Relationships look like, and how to invest and build healthy relationships in their lives by Discovering what healthy relationships are, Connecting with others, and Taking Action to create healthy relationships in their own lives.
Connect with others
Respect themselves and others
Empathize with others
Advocate for themselves and others
Take Action and become responsible, productive, caring, and engaged citizens
Empower themselves and others
These patches are provided to Girl Scout of Orange County for FREE thank you to our friends at BLOOMINGDALE'S!

I am requesting free C.R.E.A.T.E. Healthy Relationships Patches for girls registered with the Girl Scouts of Orange County council. *
Yes, thank you!
No, we are registered with:
Month the patch was earned: *
MM / YYYY
Activities Completed (Please choose all that apply) *
Discover What Healthy Relationships Mean to You
Discover How Adults Describe Healthy Relationships
Discover What Friends Think About Healthy Relationships
Connect With Girl Scout Program
Connect by Attending a Girl Scout Activity & Invite a Friend
Take Action to Learn More About Healthy Relationships
Take Action to Be Kind
Take Action to Make a Difference
Other
Tell us about your girls' favorite activity in the patch program. *
Would you recommend this patch program to others? *
Yes!
No.
Do you have photos you would like to share of girl(s) earning the C.R.E.A.T.E. Healthy Relationships patch?

Add File

Shared photos become the property of GSOC and may be used in press release and promotional materials, without any identifiers. Please only share photos you consent to this use.
Name of adult who will receive the patches: *
First Last
Number of patches earned: *
Mailing address of adult who will receive the patches: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email *

Confirm
Please list name(s) of Girl Scouts who earned patches:
Girl Scout level(s) *
Daisy (k-1st grade)
Brownie (2nd-3rd grade)
Junior (4th-5th grade)
Cadette (6th-8th grade)
Senior (9th-10th grade)
Ambassador (11th-12th grade)
Any additional comments?
Questions? Contact customercare@girlscoutsoc.org
C.R.E.A.T.E. Healthy Relationships patches are provided to Girl Scouts of Orange County at no cost, courtesy of our friends at BLOOMINGDALE'S!
Thank you!

Questions? Contact customercare@girlscoutsoc.org