Intent to Travel Application

Intent to Travel Application

For travel of more for more than 6 hours from troop meeting place or longer than 2 overnights this form must be submitted at least 3 months prior to travel. This application is NOT required if you are participating in a council-sponsored trip.
Troop Number:*
Service Unit:
Girl Scout Grade Level:*

DaisyBrownieJuniorCadetteSeniorAmbassador
Leader / Troop Coordinator:*

First NameLast Name
Phone Number*
Email*
example@example.com
Address*

Street Address

CityState / Province

Postal / Zip Code
Number of Registered Girls Attending:*
Number of Registered Adults Attending:*
Girl Scouts of Western New York, Inc. recommends that every girl and adult participating should be a currently registered member of Girl Scouts of the USA. Any adult attending an overnight trip MUST be a registered member of Girl Scouts of the USA and have an eligible background check with GSWNY.
Trip Troop Data Destination (Include Address):*
Per Volunteer Essentials, girls must be Cadette level or older to travel internationally. Please note that for international trips an application for additional insurance is required.
Day TripOvernight Trip
Non-Council Owned Campsite

You will need to submit an Application for Use of a Non-Council Owned Camp Site
Date of Departure:

MonthDayYear
Date
Hour MinutesAM/PM Option
Date of Return:

MonthDayYear
Date
Hour MinutesAM/PM Option
Has Your troop/group Been on any trips before?*

YesNo
If Yes, where has your troop/group traveled?
How are the girls involved in planning for this trip?*
Adult in Charge on Trip:*

First NameLast Name
Email of Adult in Charge:*
example@example.com
Signature of Responsible Troop Co-Leader:*

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