Private Residence (Family Booth Sale) Consent Form

Private Residence (Family Booth Sale) Consent Form

Questions? customercare@gsofct.org
This form is to be completed by the homeowner/renter if one or more Girl Scouts in their home, with the supervision and support of her parents/guardians, wishes to hold a Girl Scout cookie booth at their residence.

If a Girl Scout troop (two or more girls from separate households) wants to hold a Girl Scout cookie booth at a private residence, the homeowner/renter OR Girl Scout co-leader must complete the Private Residence Authorization Form in place of this form.
Girl Scout name *

First Name Last Name
5-digit troop number *
Parent/Guardian Name *

First Name Last Name
Parent/Guardian Email *
example@example.com
Co-leader name *

First Name Last Name
Homeowner/Renter *

First Name Last Name
Homeowner/Renter Email *
Address where cookie booth will take place *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date booth sale will take place *

Month Day Year
Date
I understand that personal property damage or loss due to Girl Scout activities, including holding a Girl Scout cookie booth, is the responsibility of the homeowner/renter and not of Girl Scouts of Connecticut.

I agree
The Girl Scout's troop leadership is aware that this cookie booth will take place and she has reviewed booth safety guidelines with the Girl Scout's parent/guardian. *

I agree
The location for the booth sale is safe for the Girl Scout and her customers. There is safe and adequate space for cars to approach the cookie booth sale. *

I agree
Smoking or drinking of alcoholic beverages in the vicinity of the booth is prohibited. *

I agree
Should be Empty: