2025-2026 Product Program Parent Permission Form- Direct Delivery

My girl is a registered Girl Scout for the 2026 membership year.*
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I understand NO sales are permitted prior to the start of each Product Program.*
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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.*
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I understand that all proceeds are council funds. Individually registered girl (IRG/Juliette) funds are put in a pool and not tracked by girl. I understand that my girl will need to complete a form to request funds and a volunteer review committee oversees the disbursement of funds. *
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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.*
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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.*

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Date*

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2025-2026 Product Program Parent Permission Form- IRG/ Juliettes