• Application for Activities and Trips (P500)

    Application for Activities and Trips (P500)

    Please complete and submit this form a minimum of 4 weeks prior to trip. This form must be approved before girls proceed with planning! You will be notified of the status of your application within 10 business days of receipt of your request.
  • ACTIVITY/TRIP INFORMATION

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  • At Home Emergency Contact Information

    Please note that this person should not be a participant of this activity or trip.

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  • Participant Information

  • Advisor/Leader Statement of Compliance

    • I have reviewed the policies for this activity found in Volunteer Essentials, Safety Activity Checkpoints, and GSLPG’s travel, health, safety, and emergency procedures, and the policies are being adhered to.
    • All certified adult participants can perform in their capacities according to GSUSA health and safety guidelines.
    • All drivers for these activities are properly licensed and all vehicles are registered, insured, maintained, and have a seat and seatbelt for every passenger.
    • Parents/guardians are informed of the trip activities, safety and emergency procedures, and contact information.
    • A Girl Scout Permission Slip (P-518) either has been or will be obtained for each girl including Girl/Adult Health History (TO-508) by the date of the activity.
    • The group will be accompanied by a minimum of 2 registered, non-related adults. One must be a female. Additional adults will be added as required by GUSUA Safety Activity Checkpoints.
    • Our group/troop will conduct ourselves always in a positive manner while representing Girl Scouts.
    • If my trip or activity is considered high risk, I have confirmed that the location or facility has current and up-to-date liability insurance.
    • I understand providing misinformation could result in the trip not being covered by Girl Scout Activity Insurance and could increase personal liability.

  • Troop Leader Signature

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