Day Trip
Overnight Trip
Complete this form in its entirety; have it signed by SU Manager/Designee; send to Council Office on or before deadline (See Activity Deadline page)
Troop/Group # _________ Service Unit __________________________ # Registered Girl Scouts attending ______D ______B ______J ______C ______S ______A _______Women ______ Men
Complete Roster on Page 2 or attach copy of roster
Adult in charge of activity
# of Non-Girl Scouts (additional insurance required) ______Children ______Adults
Address
Troop/Group Leader (if different)
Zip
Phone
Phone
Email
Emergency Contact Must be someone remaining in the
community and not traveling with the group.
Email
Name
Travel Dates
Council Site
Accommodations
Cabins
Non Council Site
Chickees
Tent
Lodge
Cell Phone
Hotel
Other
Bus
Rental – Vehicle Rental Agency
Home Phone
Itinerary: Please provide a detailed list of activities on a separate page and submit with this form.
Transportation:
Vehicle
Train
Boat
Plane
Driver Information: Provide a list of all driver information, (name, driver’s license number, car insurance company, policy #, and expiration date) on a separate page and submit with this form.
ALL DRIVERS MUST BE REGISTERED GIRL SCOUT MEMBERS AND HAVE COMPLETED A BACKGROUND CHECK
Certifications: Check certification expiration dates (CPR – 2 years; First Aid - 2 years). Attach copies of certifications and training cards. Current copies of certifications must be on file in Council Office.
Individuals listed below must be attending the trip.
Girl Scouting 101
First Aid
Name
Phone
Training date
Name
Phone
Training date
Name
Phone
Training date
Age Level – DBJ
Age Level – CSA
Travel Module
International
Troop Camping
Phone
Training date
Name
Phone
Training date
Name
Phone
Training date
Phone
Training date
Phone
Training date
CPR
Lifeguard
Name
Phone
Training date
Adv 1st
Aid & CPR Name
Name
Phone
Training date
Canoe/Kayak
Sailing Instructor
To be completed by SU Manager/Designee
Name
Name
Phone
required for all activities that take place away from meeting place
Adult Agreement I have read, understand and agree to follow all Girl Scout Council of Tropical Florida, Inc. Policies
and Procedures related to camping, travel and council site usage. I will supply a roster for all persons on the trip (including
age and gender). I will purchase additional insurance for non-Girl Scouts and will ensure all drivers are registered
members and have been background checked.
Email
Permission is granted for Troop __________ to proceed with the trip requested above
Name
Date _________________________
Signature of adult in charge
Signature
Staff
Date
Troop Roster
List names and phone numbers for all registered Girl Scouts (include girls and adults going on trip)
Adult (A)
Name
Girl (G)
Phone
List names, ages and gender of all non-girl scouts going on trip
Name
Age
Gender
Phone
Activity Deadlines
Completed, signed form must be received at Council Service Center office on or before the deadlines listed below.
Please plan accordingly for submission of paperwork to your Service Unit and Council Service Center
Trip type
Day Trip*
Overnight trips – less than 3 nights
Juniors-Ambassadors including Trip/Travel
Camping for 3-6 nights
Cadettes-Ambassadors in Florida and US
7 or more nights
Juniors-Ambassadors traveling to
Birthplace/Savannah
International Travel
Deadline for submission
At least 7 days prior to trip
At least 3 weeks prior to trip
At least 3 weeks prior to trip
At least 3 to 6 months prior to trip
At least 4 months prior to trip – Birthplace requires confirmation from Council 3 months in advance
At least 12-18 months prior to trip
*Day Trips – All activities or outings held in a different place or time from the regularly scheduled meeting requires a Parent Permission form. Troops leaving their meeting
place must be accompanied by at least 2 registered adults (one being the Leader) that have completed a background check.
If there is more than one leader in the troop, the following trainings should have been completed:
 Volunteer Essentials
 Girl Scouting 101
 Age level Training
 Travel Module
A minimum of 2 adults are required at all times.
Any time a permission form is required, you must notify the Service Unit Manager/Designee at least 7 days in advance. The SU Manager/Designee has the responsibility of
not allowing activities she/he feels are inappropriate or unsafe for any reason, including incomplete planning. Full details of planned activity/trip are required for approval.
Permission slips should not be distributed to girls until approval for each trip/activity is granted and should be retained by troop leader.
For more information on trip planning requirements, including Age Level limitations see Activity Safety Checkpoints and Girl Scouts of Tropical Florida, Inc. Policies,
Standards and Program and Travel Module training materials.