2025-2026 Product Program Parent Permission Form- Direct Delivery

My girl is a registered Girl Scout for the 2026 membership year.*
Initial Here
I understand NO sales are permitted prior to the start of each Product Program.*
Initial Here
I understand that the Product Programs are pre-pay only. The full payment will be required when Fall Product is ordered online and when cookies are picked up from council.*
Initial Here
I understand that all proceeds are council funds and will be used at the regional level for an activity voted on by the Girl Scouts participating in the Direct Delivery Girl Scout Product Programs *
Initial Here
I agree that Girl Scouts of Historic Georgia can email me directly at the provided email address, regarding my daughter's participation in the 2025- 2026 Product Programs, even though I may have opted-out of receiving GSHG emails when we registered.*
Initial Here
Parent/Caregiver's Name*

First NameLast Name
Relationship to Girl Scout*
Email*
Primary Phone Number*

Area CodePhone Number
Work / Alternate Phone Number

Area CodePhone Number

I will ensure my Girl Scout follows the Safety Guidelines (including, but not limited to, not posting to open online social media sites) and will always have adult guidance. I release Girl Scouts of Historic Georgia from any liability or damages incurred by my girl due to her participation in the Girl Scout Product Program.

I give permission for my Girl Scout to participate in Girl Scouts of Historic Georgia's Product Programs. By signing below, I verify that I have read and acknowledged the above statements. I confirm that the above information is true and accurate.
This will be considered consent to your electronic signature.*

Clear
Date*

MonthDayYear
Should be Empty: