Cookie Product Program Independent Registered Member Agreement
Girls taking part in the Girl Scout Cookie Program as Independently Registered Members (IRMs) participate in much the same way as girls who are members of a Troop. The main difference is that IRMs work directly with council staff to coordinate their GS Cookie Sale, rather than a Troop volunteer. The council staff member will function as the girl’s Cookie Coordinator – explaining the processes and answering questions, accepting payments, coordinating when and where the girl picks up her inventory, and making sure that the girl receives her individually earned incentives.
Girl's Name
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First Name
Last Name
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Email
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example@example.com
Parent Guardian Phone Number
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Please enter a valid phone number.
By checking all boxes and signing below, you acknowledge that you have read, understand and, agree to all terms and conditions of participating in the product sales program as an Independently Registered Member (IRM)
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My Girl Scout is a currently registered member.
My Girl Scout will wear a uniform or other Girl Scout gear, and her Membership Pin so she is easily identifiable as a Girl Scout when selling products.
My Girl Scout and I will follow GSSA and GSUSA policies for the cookie program.
I will ensure that My Girl Scout always has adult guidance.
I will ensure that no orders for cookies will be taken prior to the designated start date of the program.
I understand that cookies will not be sold outside the 30 counties included in the GSSA council area.
I understand that cookies will be sold for the GSSA posted price of $5 per package.
I understand neither my Girl Scout nor I are permitted to post a direct sales link on any public sales sites (such as Facebook Marketplace, eBay or buy/sell/trade pages) and cookies may not be sold by any retail establishment.
I understand that all cookies requested must be paid for in advance either via the Digital Cookie platform or in GSSA shops before cookies will be released.
I understand all monetary proceeds belong to the council and are not retained by individual girls.
I understand that my IRM will receive membership specific program credits that can be used to purchase membership for herself and, 2 parent/guardians based on the following requirements: 50 packages sold = 1 girl membership, 100 packages sold = 1 girl membership and 1 guardian membership, 150 packages sold = 1 girl membership and 2 guardian memberships.
I have read and will adhere to the Internet Safety Pledge and the Digital Cookie Pledge located on our website.
I understand all donations received will be turned into Council to be applied to the Hometown Hero's Program
If your girl sells 500+ packages she will receive the 500+ Bar Patch, and her choice of one of the items below
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Collapsible Cup/DIY Playing Cards
$50 in Program Credits
If your girl sells 650+ packages she will receive the Scratch Art Poster and Cookie Boxes Charm and her choice of one of the items below.
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Baseball Cap
Spinning Axolotl Necklace
If your girl sells 800+ packages she will receive the 800+ Club Party, 800+ Bar Patch and an Axolotl t-shirt. Please choose your Girl Scout's size below for the t-shirt.
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Youth Small T-Shirt
Youth Medium T-Shirt
Youth Large T-Shirt
Adult Small T-Shirt
Adult Medium T-Shirt
Adult Large T-Shirt
Adult XLarge T-Shirt
Adult 2XLarge T-Shirt
Adult 3XLarge T-Shirt
If your girl sells 1000+ packages she will receive the 1000+ Bar Patch and her choice of one of the items below.
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Crossbody Bag and Fashion Patches
$75 Program Credits
If your girl sells 1300+ packages she will receive her choice of one of the items below.
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Weekender Tote and Action Patch
$100 Program Credits
Signature
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Submit
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