Extended and International Trips Application

Extended and International Trips Application

This Application is used for domestic travel of three (3) or more nights duration and international travel of any length. An initial application should be submitted at the time of initial planning. While it’s rare, some trips may need altered to meet Girl Scout guidelines. For this reason, girls should not complete additional planning until the initial approval is confirmed. A final application is required at least six (6) weeks prior to the date of departure. Confirmation will be provided within ten (10) days of receipt.

At the time of the trip, all participants must be currently registered Girl Scout members.
At the time of the trip, all adult chaperones must be currently approved volunteers with completed background checks.
All trips require a First Aid/CPR trained adult.
At least one adult on the trip is required to take additional Trip and Travel training.
Refer to Chapter 4: Safety-Wise of Volunteer Essentials. Review all Safety Activity Checkpoints.
Refer to Volunteer Essentials, Appendix II: For Travel Volunteers
All binding contracts must be submitted to GSNEO for approval (i.e. van rentals, bus rentals, etc.).
Additional insurance or paperwork will be included in the confirmation information.
The length of this trip may require that all participants complete the “Resident Camp and 3+ Day Travel Health Form.” This form requires a physical within 24 months of the trip.

The online application for Simple Overnight Trips (one or two nights) can be found here.

Have you completed your Trip and Travel training?*

YesNo

Please click the "Submit" button to take your training.
Note: You must be signed into gsLearn to take your training.

Section 1. Trip Coordinator

Name*

First NameLast Name

5-digit Troop Number*

Phone*

By checking this box, I consent to receive customer care and account notification text messages (SMS or MMS) from Girl Scouts of North East Ohio. You may opt-out at any time by replying STOP. For assistance, text HELP. Message frequency varies. Message & Data rates may apply. View TERMS (gsneo.org/terms) and PRIVACY (gsneo.org/privacy).

I consent to receive SMS from Girl Scouts ofNorth East Ohio. Reply STOP to opt-out, HELP for assistance. Message and datarates may apply. Messaging frequency varies.

e-mail*

Section 2. Description of Trip

Please provide a brief description of the trip. A full itinerary will be required for final approval at least six (6) weeks prior to the date of departure. (For example: London and Paris, Camping in Yosemite, or Tybee Island and Savannah, GA)

Trip Description*

Departure Date (Pick a Date)*

MonthDayYear

Return Date (Pick a Date)*

MonthDayYear

Section 3. Trained Volunteers & Activities

Provide names of volunteers attending the trip with the following qualifications.

Trip and Travel Training

Date Completed (Pick a Date)

MonthDayYear

First Aid/CPR Certification*

Date First Aid/CPR Certification Expires (Pick a Date)*

MonthDayYear

First Aid/CPR Certification*

Browse Files

Outdoor Essentials (for camping trip)

Outdoor Essentials Certification

Browse Files

Check any other specialized certifications and list certified person below:

LifeguardSmall Craft SafetyBasic Water RescueArchery

Specialized Certification Person #1

Date Specialized Certification Expires (Pick a Date)

MonthDayYear

Specialized Certification

Browse Files

Specialized Certification Person #2

Date Specialized Certification Expires (Pick a Date)

MonthDayYear

Specialized Certification

Browse Files

Activities included in the trip: (the activities listed below require a Hold Harmless form and/or specialized certifications.*

Section 4. Emergency Contact Information and Transportation

Home Emergency Contact Person. Provide name of person at home to serve as troop contact in case of emergency.

Please provide the emergency contact person with a copy of the itinerary, an emergency action plan and contact information for the caregivers of everyone attending.

Name*

Phone Number*

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

By checking this box, I consent to receive customer care and account notification text messages (SMS or MMS) from Girl Scouts of North East Ohio. You may opt-out at any time by replying STOP. For assistance, text HELP. Message frequency varies. Message & Data rates may apply. View TERMS (gsneo.org/terms) and PRIVACY (gsneo.org/privacy).

I have researched and identified the nearest hospital or emergency medical provider for the trip destination*

YesNo

Transportation (check all that apply)*

Accommodations (check all that apply)*

HotelCampsitePrivate HomeOther

Section 5. Number of participants and Trip Roster

# Girls*

# Adults*

Please indicate the number of girls for each program age level:

# of Daisies (K-1)*

# of Brownies (2-3)*

# of Juniors (4-5)*

# of Cadettes (6-8)*

# of Senior (9-10)*

# of Ambassadors (11-12)*

Provide a Roster of all girls and Adults participating in the trip. Remember, everyone attending must be a registered Girl Scout and Adults must have a current background check.*

Roster is attached below.Roster has been typed in below.

List all ADULTS participating in the trip:

List all GIRLS participating in the trip:

Attach a trip roster.

Upload a File

Section 6. Trip Itinerary

We know that planning a trip takes a long time and that sometimes, plans change. If this is an initial application and the trip is more than a year away, please do your best to provide a rough outline of your plans. While it’s rare, some trips may need altered to meet Girl Scout guidelines. A detailed itinerary including a description of dates, approximate times, daily activities, major sites or stops, and the addresses of all overnight locations is required least six (6) weeks prior to the date of departure.

Please attach a trip itinerary.

Upload a File

Section 7. Annual Finance Report

Have you completed your most recent Annual Finance Report?*

YesNo

Please state why you have not completed it.

Section 8. COVID-19 Accommodations

What accommodations are you making to account for new/changing requirements related to COVID-19?*

I understand that my typed name below serves as my digital signature.

Type Full Name for Digital Signature*