2021 Cookie Program Booths Registration for Retailers
Name of Person Completing Form
*
First Name
Last Name
Name of Primary Contact
*
First Name
Last Name
Business Name
*
Please use FULL business name, example Lowe's Home Improvement instead of Lowe's
Contact Number
*
-
Area Code
Phone Number
Fax Number
-
Area Code
Phone Number
Email
*
We will email a schedule to you after troops are assigned to your location
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Restuarant
Entertainment
Retail
Other, Please Specify
If Other please specify below
If other please specify type of Business
Select dates and times you would like to have Troops at your Location
Troops are instructed to only bring four girls max and two adults max/min for each time slot.
Week Starting February 6th
Thursday, February 10th, 4:00 pm to 7:00 pm
Friday, February 11th, 4:00 pm to 7:00 pm
Saturday, February 12th, 10:00 am to 6:00 pm
Sunday, February 13th, 10:00am to 6:00 pm
Week Starting February 14th
Monday, February 14th, 4:00 pm to 7:00 pm
Tuesday, February 15h, 4:00 pm to 7:00 pm
Wednesday, February 16th, 4:00 pm to 7:00 pm
Thursday, February 17th 4:00 pm to 7:00 pm
Friday, February 18th, 4:00 pm to 7:00 pm
Saturday, February 19th, 10:00 am to 6:00 pm
Sunday, February 20th , 10:00 am to 6:00 pm
Week Starting February 21st
Monday, February 21th, 4:00 pm to 7:00 pm
Tuesday, February 22th, 4:00 pm to 7:00 pm
Wednesday, February 23th, 4:00 pm to 7:00 pm
Thursday, February 24th, 4:00 pm to 7:00 pm
Friday, February 25th, 4:00 pm to 7:00 pm
Saturday, February 26th, 10:00 am to 6:00 pm
Sunday, February 27th, 10:00 am to 6:00 pm
Week Starting February 28th
Monday, February 28th, 4:00 pm to 7:00 pm
Tuesday, March 1st, 4:00 pm to 7:00 pm
Wednesday, March 2nd, 4:00 pm to 7:00 pm
Thursday, March 3rd, 4:00 pm to 7:00 pm
Friday, March 4th, 4:00 pm to 7:00 pm
Saturday, March 5th, 10:00 am to 6:00 pm
Sunday, March 6th, 10:00 am to 6:00 pm
Booth Details
Booth Location
*
Indoor OR
Outdoor
Troop can bring an awning (no logos allowed)
We prefer an outdoor booth but we will allow indoor set up if weather is inclement
How many doors may our Girl Scouts set up at?
*
One OR
Two
Parking lot
Any rules in regard to set up? (i.e. distance from door?)
*
Table provided for troop?
*
Store will provide table OR
Troop will provide table
Check in with Manager / Customer Service?
*
No check in needed OR
Only first shift of the day needs to check in OR
All shifts need to check in
If check in is required who should they check in with and where are they located? EX: Manager on Duty/Customer Service Desk?
*
Any other requests?
I authorize that i am able to give permission for GSKSMO to host cookie booths at my store locations. This includes permission from all appropriate parties including district/regional/national management and property management companies.
Are you a Booth Committee member entering this form on behalf of a store?
If yes please type in your name above
Submit
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