NYPENN Experience Credits Usage Form

NYPENN Experience Credits Usage Form
We are so excited that you are using your Experience Credits. Please select how you would like to use it and enter the amount to be applied. If you do not have a sufficient amount of funds in your account you will be contacted by a staff member to pay the balance due.

Need Balance Information ...

please contact the Product Sales Team at 1.800.943.4414 or info@gsnypenn.org

Some restrictions apply. All Girl Scout experience credits are to be used on a NYPENN Pathways event, camp or travel. These credits are not applicable to experiences outside of NYPENN Pathways.

Expiration Date: November 1, 2023
Caregiver's Name*

First NameLast Name
Caregiver's Email*
example@example.com
Caregiver's Phone Number*

Area CodePhone Number
How would you like to use your Experience Credits:*

CampEventEF Tour
Girl Information for Camp *
Girl Information for Event *
Girl Information for EF Tour *
Should be Empty: