GSMISTS Activity/Trip Application Form

GSMISTS reserves the right to deny any activity/trip that does not follow the appropriate Safety Activity Checkpoints and/or the application does not follow the Activity/Trip Application Approval Timeline.

In some cases, additional information may be needed. Please refer to the GSMISTS Activity/Trip Planning Guide for guidance.

If all applicable information is not received 14 days prior to your start date, the Activity/Trip Application will be denied, and any pending GSMISTS property reservations will be cancelled.
I have read and understand the statements above

YesNo
Your Activity/Trip Application cannot be submitted at this time.

If an activity/trip will be located at a volunteer's home or private property, a Permission to Meet in the Home Application and Approval Form must be submitted to GSMISTS and approved.

When planning extended trips, troops have the option to purchase Plan 3P Accident plus Sickness Insurance. International trips always require Plan 3PI Accident plus Sickness Insurance for International Trips.

Purchase additional Mutual of Omaha activity insurance here.
I have read and understand the above statements*

Safety Activity Checkpoint Review

Safety Activity Checkpoints (SAC) provides the standard safety guidelines for GSUSA and GSMISTS approved activities. In addition to providing volunteers with safety guidelines to ensure the physical and emotional safety of girls, information is also included throughout SACs to ensure equity, diversity, and inclusive thinking when planning Girl Scout activities so all girls with a desire to participate are included.

Click here to review Safety Activity Checkpoints
I have reviewed Safety Activity Checkpoints for the activity(ies) we will be participating in*

YesNo
Do you have adult Troop members that have the required knowledge and experience/training listed in the checkpoint(s)?*

YesNo
Are you using a third party provider/outfitter who is providing equipment and instructor(s) that meet the required knowledge and experience/training expectations in Safety Activity Checkpoints?*

YesNo
Your application cannot be completed at this time.

Troop Information
Troop Number*
Service Unit Number*
Troop Leader Name*

First NameLast Name
Troop Leader Email*
example@example.com

Transportation
How are Girls being transported to the Activity/Trip? Select all that apply*

Girls Dropped Off by Parent/Caregiver at Activity or Trip Starting PointCars- PersonalCars- RentalBus/Tour CompanyTrainPlane
Car rental agreements must be submitted to GSMISTS prior to the start of trip. Send to girlexperience@gsmists.org
You must complete and submit a Bus Service Agreement if you are chartering a bus.

Volunteers are not allowed to sign charter bus contracts or argreements. Forwarded any contracts to girlexperience@gsmists.org for signature.

Third party bus/tour transportation companies must have current certificiate of liability insurance in the amount of, $5 million (minimum).
A detailed train itinerary must be submitted to girlexperience@gsmists.org prior to start of trip.
A detailed flight itinerary must be submitted to girlexperience@gsmists.org prior to the start of trip.
Company Name*
Total number of adults driving:*
Names of Adults Driving (make sure to click the gray submit button after EACH name)*
Additional comments on transportation

Activity/Trip Participant Information
Please include the names of ALL people (members and non-members) who will attend your activity/trip.
Total number of girls:*
Girl Attending Information (make sure to click the gray submit button after EACH girl name, including the last one you enter)*
Total number of adults:*
Adult Attending Name (make sure to click the gray submit button after EACH adult name, including the last one you entered)*
Multi-Troops/Service Units Activity/Trip Upload Roster of Girls and Adults Attending Here

Browse Files
(Members and Non-Members Must be Included) Cancelof

Certification/Training Information
Please select the applicable trainings needed for your activity/trip.

Then, enter the adult name(s) for those who hold the certificates or trainings that correlate to your activity/trip found in Safety Activity Checkpoints.

Volunteers that have certificates/trainings MUST be present during activity/trip at all times.
Trainings/Certifications (Select all that apply)*

New Leader/Troop Management Training (Required)First Aid/CPR (online-only programs do not meet GSMISTS requirements)GSMISTS Troop Camping Skills (required in order to have campfires)ARC Lifeguard (Open water swimming must have waterfront qualification)GSMISTS Small Craft Safety (required if doing an canoeing or kayaking on flat water)USA Archery Instructor (required for indoor or outdoor archery or slingshots)Other
Adult(s) training information*
Additional training details please elaborate here (GS Volunteers or 3rd party facilitators)
Please Upload Certification(s) that Correlate to Activity/Trip (if GSMISTS already has records of completed trainings skip this step)

Browse Files

Cancelof

Emergency Contact Information
The emergency contact is NOT participating in the activity/trip but can be reached during the activity/trip, holds participant information, and will notify parents/guardians of delays, cancellations, emergencies, etc.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Troop Leader Acknowledgment
I verify I have reviewed and will comply with GSMISTS Activity/Trip Planning Guide as well as Safety Activity Checkpoints for the activities/trips my troop will partipate in.

GSMISTS reserves the right to not approve any activity/trip that does not follow the appropriate Safety Activity Checkpoints and/or the application does not follow the Activity/Trip Application Approval Timeline.
Troop Leader Name*

First NameLast Name
Troop Leader Signature*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty:

Type of Trip	Application Timeline
Day Trip Lasting more than 8 hours, including travel time.	4 weeks prior to trip
High Adventure/ High Risk Activities Any activity in the Safety Activity Checkpoints requiring GSMISTS approval.	4 weeks prior to trip
Indoor Overnight/Multi-Night Trip Troop will sleep at a hotel, motel, lodge, Airbnb, or other like facility. Troop will have acess to flush toilets. Troop will be cooking in a kitchen, eating at resaurants, or meals will be provided. Troop will not cook outdoors and campfires will not be built.	4 weeks prior to trip
Backyard Camping Trip - NO Campfire Located at a volunteer's house or private property. Troop will* have acess* to flush toilets. Troop will* be cooking in a kitchen, eating at resaurants,* or meals will be provided. Troop will not* cook outdoors and campfires* will not be built.	4 weeks prior to trip
Backyard Camping Trip - with Campfire Located at a volunteer's house or private property. Troop will* have acess* to flush toilets. Troop will* cook outdoors and will build a campfire.*	4 weeks prior to trip
Indoor Camping Trip Troop will sleep in an enclosed structure or cabin at an established camp or campground with safe, running water. Troop will have acess to flush or pit toilets. Troop will cook outdoors and will build a campfire.	4 weeks prior to trip
Outdoor Camping Trip Troop will sleep in tents at an established camp or campground with safe, running water. Troop will* have acess to flush or pit toilets. Troop will cook outdoors and will build a campfire.*	4 weeks prior to trip
Wilderness/Backcountry/Primitive Camping Trip Troop will sleep in tents in a wilderness/backcountry/primitive setting. Troop will not have access to running water, flush or pit toilets. Troop will be cooking outdoors and will* build a campfire.*	4 weeks prior to trip
Participating as a User Group at an Established Camp (ex. Camp Henry, YMCA Camp, etc.) All activities and meals are provided by the staff of the established camp. They established camp provides the activity instructors with certifications as listed in Safety Activity Checkpoints.	4 weeks prior to trip
International Travel	6 weeks prior to trip
Multi-Troop/Service Unit	6 weeks prior to trip

GSMISTS Activity/Trip Application Form

Troop Information

Activity/Trip Information

Activity/Trip Itinerary

Transportation

Activity/Trip Participant Information

Certification/Training Information

Emergency Contact Information

Troop Leader Acknowledgment