Troop Travel Agreement
Submit this form at least 60 days prior to your trip along with additional documents as indicated in the Travel Guide. Please note that all travel related contracts and agreements must be signed by the GSWNY CEO.
Troop Number:
*
Service Unit:
Girl Scout Grade Level:
*
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Trip Leader (Adult in charge during the trip):
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Travel Destination #1 (Include Address):
*
Travel Destination #2, if applicable (Include Address)
Date of Departure:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Date of Return:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Transportation:
*
Overnight Accommodations #1:
*
Overnight Accommodations #2, if applicable
Number of Girls:
*
Number of Female Adults:
*
Number of Male Adults:
*
Purpose of Trip:
Troop Emergency Contact Person (at home):
First Name
Last Name
Address of Emergency Contact Person:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Emergency Contact Person:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email of Emergency Contact Person:
*
example@example.com
Girl Travelers:
Rows
First & Last Name
Age
GS Level
Emergency Contact Name
Emergency Contact Phone #
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Troop CPR/First Aid Certified Adult(s):
First & Last Name
Certification Expiration Date
Troop CPR/First Aid Certified Adult(s):
First & Last Name
Certification Expiration Date
Adult Travelers
Rows
First & Last Name
Trip Role
Email Address
1
2
3
4
5
6
7
8
9
10
Please Outline Your Trip Itinerary or Attach Detailed Intinerary:
Rows
Day
Evening
Day 1
Day 2
Day 3
Day 4
As Trip Leader I have confirmed that all travelers, youth and adults, are registered Girl Scout Members.
Please check to confirm
Trip Itinerary:
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Trip Budget:
Rows
Dollar Amount
Total Cost Per Person
Girl/Family Contribution
Troop Contribution
Final Payment Due By
How we will pay for expenses (money earning projects):
Please upload any travel contract or agreements.
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Trip Leader Agreement Statement: I have reviewed Volunteer Essentials and the Safety Activity Checkpoints related to the activities for the trip. I have reviewed the Travel Safety Checklist in the GSWNY Travel Guide. I have ensured that all the participants have worked as a team to create our travel plan; where to go, what to see and how to handle things like money, behavior and safety. I agree to abide by the policies of Girl Scouts of Western New York and Girl Scouts of the USA.
*
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