Cookie Credits Redemption Form

Cookie Credits Redemption Form

For Parent/Caregiver
Girl Scouts can request Cookie Credits for approved Girl Scout activities. Each girl must submit this form to the council headquarters to initiate the disbursement of funds.

Approved uses are:
- Girl Scout Membership Renewal
- Girl Scout Lifetime Membership
- GSUSA Destinations
- Girl Scout Camp
- Council Sponsored Program
- Highest award Expenses

Cookie Credit requests for troop travel or service unit events must be submitted by the troop leadership via this form.

Need to check how many credits your Girl Scout has? Visit this form.
Girl's Name *

First Name Last Name
Troop Number or Independent Girl Scout *
Parent/Caregiver Name *

First Name Last Name
Parent/Caregiver Email that was used when registering *
example@example.com
What is this request for? *

Girl Scout Membership Renewal (Must have a minimum of 25 in Cookie Credits to request membership renewal.) GSUSA Lifetime Membership Girl Scout Camp Council Sponsored Program GSUSA Destinations Highest Award Expenses
Amount Requested *
Minimum 10

Membership Renewal
Cookie Credits may only be used by the girl who earned them.

You are not able to renew adult or sibling memberships with Cookie Credits.
My Girl Scout has 25 in Cookie Credits and I acknowledge submitting this form will deduct that from her balance. *

I understand.

Lifetime Membership
A Girl Scout Lifetime Membership is $200 for new Girl Scout alum. You do not have to have the full amount to apply Cookie Credits towards this cost. You will be contacted to cover any remaining balance.
I understand that if I have requested less than 200 Cookie Credits, I will be contacted to pay the remaining balance. *

I understand.

GSUSA Destination
Girl Scout Destinations are found on this site: http://forgirls.girlscouts.org/travel/take-a-trip/destinations/

If your Girl Scout is not registered for a GSUSA Destination from that page, please hit the back button to select a different option.

With this option payment will be made directly to GSUSA.
Name of GSUSA Destination *
Attach copies of destination registration confirmation email from GSUSA *

Cancel of
I acknowledge submitting this form will deduct the requested amount from my Girl Scout's Cookie Credit balance. *

I understand.

Girl Scout Camp
Cookie Credits may be redeemed for Girl Scout Camp. This camp can be hosted by GSGCF or another Girl Scout council.

Please note we will not be able to process partial payments towards camp costs.

If you are attempting to request funds for a troop camp out this is a troop travel request. Please work with your troop leadership to submit the correct form.
Name of session and date(s). When attending a camp at another council other than GSGCF, please provide a link to the camp. *
Cost of Camp *
I acknowledge submitting this form will deduct the requested amount from my Girl Scout's Cookie Credit balance. *

I understand.

Council Sponsored Program
Council sponsored programs are provided directly by GSGCF.

If you are requesting funds for a Service Unit Event, please work with your troop leadership to complete the correct form.
Council sponsored program: Name of program and dates. *
I acknowledge submitting this form will deduct the requested amount from my Girl Scout's Cookie Credit balance. *

I understand.

Highest Award Expenses
Cookie Credits may be requested to reimburse for costs incurred during Highest Award Projects.

Reimbursement requests will be processed as checks made payable to the troop's bank account.
Which award is this request for? *

Bronze Award Silver Award Gold Award
Copies of Receipts *

Cancel of
I acknowledge submitting this form will deduct the requested amount from my Girl Scout's Cookie Credit balance. *

I understand.

Pressing the green submit button will submit {girlsName}'s Cookie Credit Redemption Request in the amount of {amountRequested10}.

Please allow up to four weeks for the funds to be issued.
Should be Empty:

Membership Renewal