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

Please allow up to four weeks for distribution of funds. All Cookie Credit requests will be paid out to the troop/service unit via check.

*The minimum amount of cookie credits that may be requested is 25.00.

*NOTE: Cookie Credits are not transferable and can ONLY be used by the girl who earned them.

The Cookie Credits Redemption form states, the following are approved activities:

• GSUSA Destinations

• Girl Scout Camp (To request funds for camp include the name of session and date(s), and link to the camp in submission. Monies paid in full for the session cannot be reimbursed. We suggest paying the deposit. Requested funds are mailed directly to the council hosting the camp. Allow 4 weeks for approval and processing.

• Council Sponsored Programs: must have the exact amount of the program fee to request the use of credits towards the program event.

• Highest Awards Expenses: (Must submit all receipts at one time in the same submission request).

• Cookie credits can be used for troop trip travel or for service unit events but must be submitted by troop leadership via the form link located in the Cookie Credits Redemption form.

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

Girl Scout Membership RenewalGirl Scout Lifetime MembershipGSUSA DestinationsGirl Scout CampCouncil Sponsored ProgramHighest award Expenses
Troop Number or Independent Girl Scout*
Girl's Name*

First NameLast Name
Parent/Caregiver Name*

First NameLast Name
Parent/Caregiver Email that was used when registering*
example@example.com
Amount Requested*
Minimum 25

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 $45 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. Cookie Credits may only be used by the girl who earned them.
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.

Cookie Credits may only be used by the girl who earned them.
Name of GSUSA Destination*
Attach copies of destination registration confirmation email from GSUSA*

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

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

***REQUEST FOR COUNCIL PROGRAMS MUST BE EQUALIVALENT TO THE COST OF THE PROGRAM WISHING TO ATTEND, WITH A MINIMUM OF $25 BEING REQUESTED, AS THE SYSTEM DOES NOT ALLOW SPLIT TENDER OF COOKIE CREDITS AND CREDIT CARD PAYMENT***
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. Cookie Credits may only be used by the girl who earned them.
Which award is this request for?*

Bronze AwardSilver AwardGold Award
Copies of Receipts *

Cancelof
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 {amountRequested25}. Cookie Credits may only be used by the girl who earned them.

Please allow up to four weeks for the funds to be issued.
By submitting this form, I certify that:*

I am the parent/guardian and give permission for my girl's cookie credits to be used for these purposes.I am the troop leader or troop co-leader, and have consulted the girl's parent/guardian for permission for the girl's cookie credits to be used for these purposes.
Should be Empty:

Cookie Credits Redemption Form

Membership Renewal

Lifetime Membership

GSUSA Destination

Girl Scout Camp

Council Sponsored Program

Highest Award Expenses