Troop Activity Form

This form MUST BE completed and approved prior to all trips outside of Maine, overnight trips, high-risk activities, and money-earning activities. Refer to the Safety Activity Checkpoints and Troop Activity Guide for planning information, including important dates, training requirements, girl/adult ratios, etc. If you need assistance completing this form please contact Customer Care customercare@gsmaine.org or 888-922-4763. Thank you, and happy Girl Scouting!

Before you head out on your fun-filled activity, remember to complete and submit the form by the required deadline. See Troop Activity Guide At-A-Glance for more details:

Type of Activity	Submit Form
Day trips outside Maine	2 weeks prior
Money-earning	3 weeks prior
Overnight trips 1-2 nights	4 weeks prior
High-risk activity	4 weeks prior
Trips 3 nights or more	3-6 months prior
International trips	2 years prior

Your Service Unit:*
Your Troop Number:*
Additional Troop Numbers, if applicable:
If traveling with a sister troop(s).
Your Name:*

First NameLast Name
Your Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Your Email*
example@example.com
Is your activity money-earning?*

YesNo
Are you traveling Internationally?*

YesNo
Is your activity an overnight of 3 nights or more?*

YesNo
Type of activity (choose all that apply):*
If "Other", please describe activity:*

Trip Destination(s):*
Purpose of Trip:*
Departure Date and Time (please choose START date and time):*
Return Date and Time (please choose END date and time):*

Number of Daisies attending trip:*
Number of Brownies attending trip:*
Number of Juniors attending trip:*
Number of Cadettes attending trip:*
Number of Seniors attending trip:*
Number of Ambassadors attending trip:*
Have you checked your troop roster in MyGS to ensure the girls going on this trip are currently registered and that their information (age/grade) is accurate?*

Yes, and our troop roster is correctYes, and our troop roster needs to be updatedNo, I need help accessing my roster
Please list the updates that need to be made to your troop roster:*

Name of home-based emergency contact (person not attending with the troop):*

First NameLast Name
Phone number of home-based emergency contact (person not attending with the troop):*
Please enter a valid phone number.Format: (000) 000-0000.
Name of first-aider who will accompany the troop:*

First NameLast Name

Cost for each girl to participate:*
Enter $_.__
Cost for each adult to participate:*
Enter $_.__
Total cost for activity:*
Enter $_.__
How are you ensuring that this trip/activity is affordable to all girls in the troop? Select all that apply.*

Fall Product fundsCookie fundsGeneral troop fundsAdditional money-earningOther

For more information on requirements for high-risk activities, please consult the Safety Activity Checkpoints and Troop Activity Guide.
This trip/activity includes high-risk activities:*

YesNo
If any activities will be conducted through contracting an individual or company providing equipment, instructors, supervision, or program, please provide their name and phone number below. Write "N/A", if not applicable.*
List name and phone number of contracted company or individual
If not contracting an individual or company, please list certified/qualified adults (per Safety Activity Checkpoints) supervising high-risk activities. Write "N/A", if not applicable.*
List activity, name of certified adult, and type of certification

Girl Scouts should have experience at every level of travel progression before moving on to the next level. When moving up to the next step, consider each Girl Scout's independence, ability to work well in groups, flexibility, and experience with cultures other than their own.

Type of Travel	Girl Scout Level
Regional	Juniors and up
National	Cadettes and up
International: Canada	Cadettes and up
International: Other	Seniors and up

What type of travel progression has your troop done? Select all that apply.*

This is our first trip!Local field tripsDay tripsOvernightsRegional tripsNational tripsInternational trips
Please provide a brief description of travel progression your troop has previously completed:*

NOTE: Additional insurance is required for any international trip. Please contact Customer Care for more information: 888-922-4763 or customercare@gsmaine.org.
This trip/activity includes overnight travel:*

YesNo
Accommodations (place/address): *
Detailed trip itinerary (or upload a file below if preferred):*
If preferred, upload trip itinerary here:

Cancelof

Current balance in troop bank account:*
Enter $_.__
Has your troop participated in or plan to participate in Fall Product Program?*

YesNo
Has your troop participated in or plan to participate in the Girl Scout Cookie Program?*

YesNo
Reason for money-earning:*
Type of money-earning activity:*
Anticipated cost:*
Enter $_.__
Anticipated earnings:*
Enter $_.__
Date and time of money-earning activity:*
Location of money-earning activity:*
Enter location name and address

I have reviewed the information I am submitting in this Troop Activity Form, as well as GSME and GSUSA policies, standards, and procedures found in current versions of the Safety Activity Checkpoints and Troop Activity Guide, and agree to follow them.
Date*
First Name* Last Name*
Signature*
Please verify that you are human*
Should be Empty:

Type of Activity

Submit Form

Two registered, approved, and trained leaders must attend all Girl Scout gatherings, meetings, and field trips. Troops must meet required adult to girl ratios for all Girl Scout activities.

Please indicate below the types of transportation for this trip/activity. If renting/leasing a vehicle, GSME's "Vehicle Rental Agreement" must be completed and returned to GSME at least 3 weeks prior to the trip.

For more information on requirements for high-risk activities, please consult the Safety Activity Checkpoints and Troop Activity Guide.

Girl Scouts should have experience at every level of travel progression before moving on to the next level. When moving up to the next step, consider each Girl Scout's independence, ability to work well in groups, flexibility, and experience with cultures other than their own.

Type of Travel

Girl Scout Level

NOTE: Additional insurance is required for any international trip. Please contact Customer Care for more information: 888-922-4763 or customercare@gsmaine.org.

I have reviewed the information I am submitting in this Troop Activity Form, as well as GSME and GSUSA policies, standards, and procedures found in current versions of the Safety Activity Checkpoints and Troop Activity Guide, and agree to follow them.