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Get Girl Scout Permission Slip Form

Parent/Guardian Permission Form Troop Leader Keep this form with your troop records troop money-earning activities. I give my permission for my Girl Scout to participate in regular Girl Scout activities including troop meetings troop money-earning activities etc. and for her picture to be included in videotapes broadcast media print media and/or her name and picture to be used in Girl Scout publicity and materials. Troop adults have my permission to transport my Girl Scout on a troop trip or in case of an emergency. Please note A girl health history record must be attached to this form. General Information Girl Scout Name Please print Address City State Zip My Girl Scout is under the custodial care of both parents mother/guardian only other specify Emergency Contact Information First Name Middle Last Name Daytime Phone Number Evening Phone Number Date As a Girl Scout parent/guardian please indicate how you might like to help by checking one or more boxes below. Parent/Guardian Permission Form Troop Leader Keep this form with your troop records troop money-earning activities. I give my permission for my Girl Scout to participate in regular Girl Scout activities including troop meetings troop money-earning activities etc* and for her picture to be included in videotapes broadcast media print media and/or her name and picture to be used in Girl Scout publicity and materials. I hereby authorize troop adults to give necessary first aid to my Girl Scout. I also authorize the person in charge to obtain and consent on my behalf to whatever medical diagnosis or treatment is deemed necessary or advisable by such person for the well being of my Girl Scout. Troop adults have my permission to transport my Girl Scout on a troop trip or in case of an emergency. Please note A girl health history record must be attached to this form* General Information Girl Scout Name Please print Address City State Zip My Girl Scout is under the custodial care of both parents mother/guardian only other specify Emergency Contact Information First Name Middle Last Name Daytime Phone Number Evening Phone Number Date As a Girl Scout parent/guardian please indicate how you might like to help by checking one or more boxes below. Be an assistant troop/group leader Serve as a troop committee member Be a troop/group cookie sales mgr Help at troop/group meetings Be a camp trained person 07/2009 krose Be an emergency contact person Teach a skill or craft Drive for outing Make telephone calls Do record keeping Provide child care for leader Talk about my career Other Girl Scouts in the Heart of Pennsylvania 350 Hale Avenue Harrisburg PA 17104 800. I give my permission for my Girl Scout to participate in regular Girl Scout activities including troop meetings troop money-earning activities etc* and for her picture to be included in videotapes broadcast media print media and/or her name and picture to be used in Girl Scout publicity and materials. I hereby authorize troop adults to give necessary first aid to my Girl Scout. I also authorize the person in charge to obtain and consent on my behalf to whatever medical diagnosis or treatment is deemed necessary or advisable by such person for the well being of my Girl Scout.

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