2024 Cookie Program Permission Form
Girl Scout Cookie Seller Name:
*
First Name
Last Name
Troop Number:
*
Parent/Guardian Name:
*
First Name
Last Name
Parent/Guardian Email:
*
example@example.com
Troop Cookie Manager Email:
*
example@example.com
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Recognitions Selection
Please select your Girl Scout's preferred rewards* for each level. Only the levels with multiple options are listed below. For the full rewards line up, please visit girlscoutslp.org or find them listed in Smart Cookies. If your Troop is participating in the Cash Plan, we will adjust the selections accordingly. *Girl Scouts will also have the option to add choices to Digital Cookie.
Rewards Plan
125+ Packages Sold:
*
Please Select
Axolotl Charm
$3 Cookie Dough
312+ Packages Sold:
*
Please Select
Goal Patch & Small Axolotl Plush
Goal Patch & $3 Cookie Dough
400+ Packages Sold:
*
Please Select
Axolotl Pillow & Super Seller Patch
Belt Bag & Super Seller Patch
$5 Cookie Dough & Super Seller Patch
500+ Packages Sold:
*
Please Select
Cookie Boss Patch & Charm
Cookie Boss Patch & Water Bottle
Charm Engraving (10 Character Limit)
*
If earned, your Girl Scout gets to choose what goes on their charm! 10 character limit, including spaces. The other side will say "Cookie Boss 2024."
625+ Packages Sold:
*
Please Select
Hoodie
The Shoe that Grows Philanthropic Program
$10 Cookie Dough
Hoodie Size
*
Please Select
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
750+ Packages Sold:
*
Please Select
American Girl Doll Certificate
Sock Panda - 1 Year Sock Subscription
$20 Cookie Dough
1000+ Brick Engraving (18 Character Limit)
*
If earned, your Girl Scout gets to choose what is engraved on the Cookie Lane Brick. 18 character limit, including spaces.
Brick Location
*
Please Select
Camp Roundelay
Camp Sanderson
Camp Shingobee Timbers
Janette Pollay Cabin
If earned, your Girl Scout gets to choose which Cookie Lane their brick is placed at.
Troop Reward T-Shirt Size:
*
Please Select
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
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I agree to:
*
Ensure my Girl Scout is a currently registered member of the Girl Scouts of the USA
Always provide adult supervision and guidance.
Take pre-orders beginning February 1st with order card or Smart Cookies link. Selling prior to February 1st may result in loss of rewards.
Wait until February 5, 2024 to begin delivery.
Sell cookies at $5.00 per packages (Council set price).
Sign and KEEP all receipts for cookies received and money turned in to the troop.
Turn money in weekly to troop (Have checks made payable to GSMWLP or Girl Scouts. Not the troop).
Update the troop weekly with current on hand inventory and additional product needs.
Use only Digital Cookie for online cookie sales.
Complete Internet Safety Pledge (www.girlscouts.org)
Parent/Guardian Signature
*
By signing and submitting, you are acknowledging you are the parent/guardian of the Girl Scout on this form, and you are granting her permission to participate in the 2023 Girl Scout Lakes & Pines Cookie Program.
Date
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Month
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Day
Year
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