Caregiver Permission Form

Caregiver Permission Form: 2024-2025 Membership Year
We are so excited to have your Girl Scout join us for an exciting year including the Girl Scout Product Programs!

Please complete the below information granting your Girl Scout permission to participate in the Fall and/or Cookie Program.

Should your Girl Scout be a part of multiple households each Caregiver should complete their own agreement to avoid any liability disputes.

You can check out our website for full details:

Fall Program
Cookie Program
IMPORTANT: Please have your Troop Number and Troop Leader information (name and email address) of your Troop Leader handy as they are required for this form. Unsure? Contact our Customer Care team and they can look it up for you: 406-252-0488 or customercare@gsmw.org.
Girl Scout Name*

First NameLast Name
Troop Number*
Troop Leader / Product Manager Name*

First NameLast Name
Troop Leader Email Address*
example@example.com
Caregiver Name - Person Completing Form*

First NameLast Name
Caregiver Email Address*
example@example.com
Caregiver Primary Phone Number*
Please enter a valid phone number.
Caregiver Secondary Phone Number
Please enter a valid phone number.
Caregiver Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I am willing to volunteer to help my Troop in the following ways (check all that apply, an asterisk* indicates that a Girl Scout membership and background check is required).

Troop Fall Product Manager Assistant*Troop Cookie Manager Assistant*Cookie Delivery AssistantCookie Reward DistributionCookie Booth Chaperone*Booth Decoration HelperOther

Money & Receipting Process
- Money is collected when product is delivered, except for online orders, which are already paid by credit card at the time of the order.
- Customers should make checks payable to your Troop.
  Example: Girl Scouts of MT & WY Troop 12345 or GSMW Troop 12345.
- If using the Clover Go credit card processing app, these funds should still not be collected until delivery of the ordered packages. Funds will be deposited directly into troop account.
- Do not write one personal check to the Troop for all your orders.
- Do not keep large amounts of cash laying around. Make frequent visits to your Troop Product Manager to give them money to take to the bank.
- Protect yourself! Every time that you pick up cookies from your Troop Product Manager and/or give them money, be sure to get a receipt. Keep all of your receipts for your records. Do not take product from your Troop Product Manager or give them money without also receiving a receipt in return.
- Remember: Product cannot be returned or exchanged. Caregivers are financially responsible for all product ordered.
- You are responsible for lost or stolen funds.
- Any donations made should be accounted for and the funds turned in with your other payments.
Please sign below signifying your understanding of the Money & Receipting Process. *

Clear

Permission Terms

I agree to the following:
- I give permission for my Girl Scout to participate with the GSMW Product Program(s) during the 2024-2025 membership year.
- I will ensure that my Girl Scout has adult guidance at all times during the program.
- My Girl Scout will not take orders until the program begins.
- I will not collect payment from a customer until the product is delivered.
- I will ask for a copy of the receipt for pickup of any product and funds submitted, if not provided by the Troop Product Manager.
- I will submit all funds received for payment of my Girls Scout's sales to the Troop Product Manager by their required deadlines.
- All product obtained for my Girls Scout's sales will be picked up and paid for no later than the program end date.
- I understand that I cannot return product once they are ordered by my Troop, and I agree to accept full financial responsibilities for all of the product that I order. If I am in need of assistance with selling the remaining product, I will contact the Troop Product Manager in a timely manner.
- I understand that should any of my product or money get lost, stolen or damaged, I am still fully responsible for the product and funds.
- I understand that if I do not pay for the full amount of money due for product, I will be subject to the collections process.
- Camp Earners: Balances must be paid by May 31st, 2025 to retain the camp reward. Camp rewards must be used in 2025.
- Higher rewards are sent after the balance is paid in full. Balances must be paid by July 31, 2025 to retain rewards.
Please sign below signifying your understanding of the Permission Terms. *

Clear
Should be Empty:

Caregiver Permission Form: 2024-2025 Membership Year