Parent Permission Form
This form must be completed by the parent/guardian for your Girl Scout to participate in either (or both) the 2022 Fall Munchies and Mags Program and 2023 Cookie Program.
Girl and Troop Information
For your convenience, a notice will be sent to your Troop Leader by entering her/his email address below. The leader will need this completed agreement before allowing your Girl Scout to participate in either the Fall Munchies and Mags or Cookie Program.
Girl's Name (as it appears on her Girl Scout registration)
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First Name
Last Name
Troop Number
*
Troop Leader email
*
Girl's T-shirt size
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult XXLarge
Girl's Hoodie size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult XXLarge
Parent/Guardian Information
Parent/Guardian's Name
*
First Name
Last Name
Parent/Guardian Email
*
Parent/Guardian Driver's License Number
*
Issuing State
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Fall Munchies and Mags Program and Cookie Program Agreement
Please review the responsibilities thoroughly before signing below.
Girl Scout Fall Munchies and Mags Program
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I agree to accept full financial and personal responsibility for all Fall Munchies and Mags products ordered and money due for the orders my Girl Scout receives.
Girl Scout Cookie Program
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I agree to accept full financial and personal responsibility for all cookies ordered and money due for the orders my Girl Scout receives.
I will ensure that
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My Girl Scout has adult guidance at all times.
No cookie orders are taken prior to the official start date of January 1, 2023.
Girl Scout Product Program Rewards
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I understand girl reward items are ordered only for eligible girls who have paid their balance in full by the end of the program.
I understand, if the balance due is not received on or before the specified deadline, my Girl Scout will not receive reward items.
Future Participation
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I understand that, if I or my Girl Scout owes Fall Munchies and Mags or cookie program money, she will be unable to participate in either program until the balance is paid in full.
My Participation
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I understand that, if I owe Fall Munchies and Mags or cookie program money past the due dates of either program, I cannot serve in any volunteer capacity until the account is paid in full.
Internet Safety Pledge
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I have read and will adhere to the internet safety pledge located under forms on our website.
Acknowledgement of and Agreement to Terms
By entering your name below, you acknowledge that you have read, understand and agree to all terms and conditions outlined herein.
Parent/Guardian Signature
*
First Name
Last Name
Date
*
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Month
-
Day
Year
Date Picker Icon
Submit
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