Activity & Money Earning Notification Form

Today's Date

Troop #

Service Unit

Activity Date(s)

Description of Activity and/or Money Earning

Location of Activity and/or Money Earning

Name of Responsible Adult

Cell Phone Number of Responsible Adult

Is this a Girl Scout Only Activity or a Tag-a-long/Family Activity?

Girl Scout Only Activity

Tag-a-long/Family Activity

Number of Girls Attending

How will girls be transported to and from activity and/or money earning?

Number of Adults Attending

Is your Safety-Wise number met by adults attending?

Yes

Do you have a designated, trained First Aider?

Yes

Have you gotten additional insurance?

Yes

What is the amount needed in your troop's fundraising efforts?

What is the reason you're seeking additional funds outside of the council-sponsored product program?