Troop Intent to Travel Form

Troop Intent to Travel Form
Please complete and submit this form to notify Badgerland Council that you are planning an extended trip at least 3-6 months in advance of planned domestic travel and at least 6-12 months in advance of any international travel.

An "extended trip" is defined as any trip that is 3 or more nights long and/or the travel will take you outside of the Badgerland Council area.

There are additional certifications and trainings that are required for troops that are traveling. You can learn more here: https://www.canva.com/design/DAF7kNqN3m8/HTlIIPBCE0FWwGkWMf442Q/view?utm_content=DAF7kNqN3m8&utm_campaign=designshare&utm_medium=link&utm_source=editor
Troop Information
Troop Number:*
Leader's Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
Service Unit:*
See this map if you need help finding yours: https://www.gsbadgerland.org/en/for-volunteers/service-units.html
Troop level (check all that apply for a multi-level troop):*

DaisyBrownieJuniorCadetteSeniorAmbassador
Trip Information
What type of trip are you planning?*
Departure Date:*

MonthDayYear
Date
Return Date:*

MonthDayYear
Date
Means of travel (please list all types being used: train, plane, bus, RV, etc.):*
Accommodations (campground, hostel, hotel, air bnb, etc.):*
Purpose of the trip:*
Stops & Destinations - Please be as detailed as possible, including what kinds of activities are planned and any additional safety requirements that will need to be met (per Safety Activity Checkpoints).
Please list any specialized equipment, training, clothing, and certifications that will be needed for your trip.
Traveler Information
Please list the first and last names of all girls who will be attending the trip. Note that all attendees must be registered members. Chaperone information will be listed in the next section.
Chaperone Information

Chaperones responsible on the trip. Chaperones must be Badgerland Council approved - registered members with an approved background check.
What is the adult/participant ratio?
Chaperone #1*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please list all certification that this chaperone possesses (i.e. - first aid, CPR, AED, WFA, WFR, lifeguard, etc.)
Chaperone #2*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please list all certification that this chaperone possesses (i.e. - first aid, CPR, AED, WFA, WFR, lifeguard, etc.)
Chaperone #3

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please list all certification that this chaperone possesses (i.e. - first aid, CPR, AED, WFA, WFR, lifeguard, etc.)
Chaperone #4

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please list all certification that this chaperone possesses (i.e. - first aid, CPR, AED, WFA, WFR, lifeguard, etc.)
If you have more than 4 chaperones, you can put all of the information required above in this box, and indicate that they are a chaperone. Please also list any other adults who are traveling with the group (full name only). Note that these adults must also be registered and background checked.
If there are any non-Girl Scout youth (minors) traveling with your group, please list their first name, last name, and ages.
At Home Emergency Contact

Adults who are not traveling with the group. Please list at least one.
Name*

First NameLast Name
Cell Phone Number*
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Cell Phone Number
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
An "extended trip" is defined as any trip that is 3 or more nights long and/or the travel will take you outside of the Badgerland Council.

There are additional certifications and trainings that are required for troops and all adults when traveling. You can learn more here: https://www.canva.com/design/DAF7kNqN3m8/HTlIIPBCE0FWwGkWMf442Q/view?utm_content=DAF7kNqN3m8&utm_campaign=designshare&utm_medium=link&utm_source=editor
Please put your initials in this box to indicate that you have read the requirements above. Reach out to us at info@gsbadgerland.org if you have any questions.*
Should be Empty:

Troop Intent to Travel Form

Troop Information

Trip Information

Traveler Information

Chaperone Information

At Home Emergency Contact