Product Program Participation Form 2024-2025

This form covers the Fall 2024 Treats & Reads Program AND the 2025 Cookie Program.

A Parent/Guardian must fill out all fields below before a Girl Scout can receive her program materials.

If you have multiple girls in the same household and ALL ARE IN THE SAME TROOP, you can fill out one form. Please include each girl's name on the form.

If you have multiple girls in the same household in DIFFERENT TROOPS, one form for each girl is required.

Girl(s) Name (If entering more than one name, both girls MUST be from the same troop. Make sure to click the gray submit button after each name including the last one entered)*

Troop Number*

Service Unit

Name of Parent/Guardian*

First NameLast Name

Troop Leader Name*

First NameLast Name

Troop Leader's Email*

example@example.com

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number*

Area CodePhone Number

Parent/Guardian Email*

example@example.com

**Please read and sign the statment below**

My Girl Scout has permission to participate in the Girl Scout Product Programs, including the Fall "Treats and Reads" and the Cookie program. I agree to accept financial responsibility for all products and money she receives and I further understand that money collected by my Girl Scout or family belong to her Girl Scout Troop and Girl Scouts of Michigan Shore to Shore. Earned Proceeds do not transfer if a girl moves to a new troop.

Notes:

To be eligible for financial aid during their first year, girls must participate in both the Fall Treats & Reads and the Cookie Program. After that, troops must cover renewal fees with earned troop funds.
Any girl whose family has outstanding monies owed from past Product Programs cannot participate in the current Product Programs until payment has been received. Please contact a council product program staff member for payment verification.
Troop Leader: Please keep this completed and signed form on file to submit, should an Outstanding Money Report (OMR) become necessary.
No OMR's will be accepted without this completed form included. If not completed before the deadline, the troop leader takes full responsibility for all financial debt to council.

Please Enter Today's Date*

Date

I have read and understand.

Signature of Parent/Guardian *