2025 Fall Program Permission

I agree to:*

Ensure my Girl Scout is a currently registered member of the Girl Scouts of the USAAlways provide adult supervision and guidance.Accept payment responsibility for all products received.Sign and KEEP all receipts for received and money turned in to the troop.Turn money in weekly to troop (Have checks made payable to GSMWLP or Girl Scouts. Not the troop).Use only M2OS for marketing and sales transactions.Complete Internet Safety Pledge (www.girlscouts.org)
Parent/Guardian Signature*

Clear
By signing and submitting, you are acknowledging you are the parent/guardian of this Girl Scout, and you are granting permission for them to participate in the 2025 Girl Scout Lakes & Pines Cookie Program.
Date

MonthDayYear

REWARDS SELECTION

Please work with your Girl Scout to select a reward at each level, this may also be completed in M2.

We will use this information in the event that a deadline is missed and the reward order needs to be completed in M2.
25+ Combined items*
Theme Stickers OR $2 Fall Bucks
40+ Combined Items*
Super Seller Patch & Bear Charm OR Super Seller Patch & $2 Fall Bucks
50+ Combined Items*
Options: Small Plush OR $3 Fall Bucks
60+ Combined Items*
Options: Mini Scratch Notes OR $4 Fall Bucks
75+ Combined Items*
Options: Theme T-shirt OR $5 Fall Bucks
Shirt size*
Options: No Shirt ($5 Fall Bucks), YS, YM, YL, AS, AM, AL, AXL, 2XL
85+ Combined Items*
Options: Journal OR $6 Fall Bucks
100+ Combined Items*
Options: 100+ Patch & Large Plush OR 100+ Patch and $8 Fall Bucks
125+ Combined Items*
Options: Travel Jewelry Box OR $10 Fall Bucks
150+ Combined Items*
Select the location for your Cookie Lane Brick. All bricks will be engraved with Cookie Boss 2026, Girl Scout Name, and packages sold.
Should be Empty:

2025 Fall Program Permission Form