Troop Trip Form

Troop Trip Form

Form MUST be submitted a minimum of 6 weeks prior to International travel, 4 weeks prior to a High Adventure Trip, and 3 weeks prior to all other trips. You will receive a copy of this request upon completion of this form via email. We DO NOT recommend paying for any travel expenses prior to the approval of your trip.
For a list of approved Girl Scout activities, see Safety Activity Checkpoints.

**If attending an overnight trip that includes High Adventure Activities, select the "High Adventure" troop trip type below.
Trip type *

High Adventure - (Ropes Course, Trampolines, Zip Lining, Horseback Riding, Archery, Scuba Diving, etc) Day Trip within CT - (Includes WALKING in a parade. Trip does NOT include any High Adventure activities.) Extended Trip - (Overnight trips within CT, Out of State travel, International travel) Float/Hayride - (Riding on motorized vehicle. **Not walking in parade)
Name of person submitting the Troop Trip form: *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
5 digit Troop # *
SU Name *
Girl Level *

Daisy Brownie Junior Cadette Senior Ambassador

Number of Participants *

	Quantity Participating
Registered Females (over 18)
Registered Males (over 18)
Registered Females (under 18)
Registered Males (under 18)
Unregistered Females (over 18) *Plan 2 insurance required
Unregistered Males (over 18) *Plan 2 insurance required
Unregistered Females (under 18) *Plan 2 insurance required
Unregistered Males (under 18) *Plan 2 insurance required

Troop Trip Roster

Enter the information, ONLY for those that will be participating in the troop trip, in the section below or upload a current participant list. DOB is only required for International Troop Trips. Troop Trip Rosters are ONLY required for High Adventure and Extended trips.
The Troop Trip Roster can be downloaded from MY GS, VTK, or the Troop Trip Roster form found in the form library on GSOFCT.org.

Cancel of
Adult/Girl Ratio

Daisy- 2 Adults per 6 Girls Brownie- 2 Adults per 12 Girls Junior- 2 Adults per 16 Girls

Cadette- 2 Adults per 20 Girls Senior/Ambassador- 2 Adults per 24 Girls

*****1 Additional Adult is needed for 1-4 additional Daisys, 1-6 additional Brownies, 1-8 additional Juniors,

1-10 additional Cadettes, and 1-12 additional Seniors/Ambassadors.
Troop Trip/Activity Information
Location Name *
Site Address *
Site Employee Contact Name *
site employee name - NOT your name
Site Phone Number *
Please enter a valid SITE phone number.
What types of activities will the girls be participating in? (please be as detailed as possible): *
Travel Dates/Times

Departure & Return
Date of Departure *

Month Day Year
Depart
Time of Departure *
Departure Location (If troop members are leaving from their personal homes, write "private homes" as address and use the leaders city and zip) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mode of Transportation
Private Car Van Approved Bus Train Ship Airplane Rental Vehicle Walk*
Date of Return *

Month Day Year
Return
Time of Return *
Return Location (If troop members are returning to their personal homes, write "private homes" as address and use the leaders city and zip) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mode of Transportation
Private Car Van Approved Bus Train Ship Airplane Rental Vehicle Walk*
Troop/Group Emergency Contact

The contact must be someone who is NOT going on the trip.
Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Sleeping Accommodations

(Only if necessary)
Name of Facility
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Site Contact
Phone Number
Please enter a valid phone number.
Type of Lodging
Home Tent Cabin/Lodge Hotel/Motel Other:
Adult Training
CT Troop Foundations:   First Name   Last Name
GSUSA Successful Leader Learning Series:   First Name   Last Name
Orientation   First Name   Last Name
Basic Leader Training:   First Name   Last Name
**First Aid- CPR/AED:   First Name   Last Name
  First Name   Last Name
Out & About:   First Name   Last Name
Fire, Food & Fun:   First Name   Last Name
Ready? Set? Go!:   First Name   Last Name
Ready, Set, Camp!:   First Name   Last Name
Camping Adventures:   First Name   Last Name
Archery:   First Name   Last Name
*Lifeguard:   First Name   Last Name
*Small Craft:   First Name   Last Name
Wilderness First Aid:   First Name   Last Name
Other:         First Name   Last Name
Other:      First Name   Last Name

*If trip involves any water activity including, but not limited to, swimming, canoeing, kayaking, water park etc. , a currently certified lifeguard MUST be present. This includes hotel/motel and home pools.
**At least one certified First Aider and a first aid kit MUST be present at all times during the trip.
Volunteer Agreement
I have read the Safety Activity Checkpoints for this activity.
I have reviewed Volunteer Essentials to ensure compliance with GSUSA and GSOFCT's Policies and Procedures.
I have attached a roster of participants (girls and adults).
I have ensured all required training has been met.
I have purchased Additional Activity Insurance (required for nonregistered participants)
I have secured all troop/group paperwork (prior to departure):

Parent/Guardian Trip/Event Permission slips   Girl Health History Form   Annual Consent Form   Adult Health History Card   Girl Health Record form (activities 3 or more nights)   Participant Waiver
NOTE: All above forms must be onsite for all participants along with a first aid kit.

Parade Float Troop Trip
Describe the vehicle/float being used in the parade. (If you are only walking in a parade, use a Basic Trip form)
Do girls standing on the vehicle/float have a secure hand hold?

Yes No NA - walking in Parade
Do the girls sitting on the vehicle/float have secure seating?

Yes No NA - walking in Parade
Hayride Troop Trip
Select pre-approved location:
Other location (must receive approval prior to trip)

Required Signatures

I have read the requirements related to trips, travel, and activities planned during our trip and agree to abide by GSUSA Safety Activity Checkpoints, GSOFCT's Policies and Procedures, and Volunteer Essentials.

I will assure that all GSUSA, GSOFCT and Safety Activity Checkpoint Policies and Procedures are upheld during the trip.
Roster Submitted Girl/Adult Ratio is met
Electronic Signature of Troop/Group Co-Leader: (by signing below, I acknowledge that this trip is not approved until I receive a confirmation email from GSOFCT) *
Should be Empty:

Troop Trip Form

Troop Trip Roster

Troop Trip/Activity Information

Travel Dates/Times

Troop/Group Emergency Contact

Sleeping Accommodations

Adult Training

High Adventure Troop/Group Trip

Parade Float Troop Trip

Hayride Troop Trip