Register your household, then pay securely with Stripe.

This public page collects only the details needed to register your Pink Shield membership. It does not provide access to the private Pink Combs dashboard.

Open termFall 20262026-2027

CoverageAug 15, 2026 – Dec 31, 2026Coverage starts after verified payment, subject to the locked term.

Purchaser and primary contact

The purchaser must be at least 18. This does not create a dashboard login.

First nameLast nameEmailPhone

Registered Georgia service address

This is the household address covered by Pink Shield. No appointment is scheduled here.

Street addressApartment, suite, or unit OptionalCityStateZIP code

Registered household members

List every person covered for this semester. The exact count determines the server-approved price.

Exact number of registered members

One-time semester price$499.00Capped 7-or-more tier

Member 1