Leader Registered Troop Parental Permission Form
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1
2Leader Registered Troop
Parental Permission Form
Date:_____________
Service Unit #_______________
Troop Leader _______________
Troop # ______________
The Girl Scout Law
The Girl Scout Promise
I will do my best to be
On my honor, I will try:
honest and fair,
To serve God and my country,
friendly and helpful,
To help people at all times,
considerate and caring,
And to live by the Girl Scout Law.
courageous and strong, and
responsible for what I say and do,
and to
respect myself and others,
respect authority,
use resources wisely,
make the world a better place, and
be a sister to every Girl Scout.
I/We acknowledge that the registrant will make the Girl Scout Promise and accept the Girl Scout
Law.
Media Permission Denied
The registrant has permission to join Girl Scouts and the above leader has my permission to register my
daughter. I wish to opt out at this time from being photographed for print, videotaped, or electronically
imaged while participating in Girl Scout activities.
Girl Scouts’ Name
Parents Name (Please print)
Parents Signature
Date
1.______________________
________________________
__________________
__________
2.______________________
________________________
__________________
__________
3.______________________
________________________
__________________
__________
4.______________________
________________________
__________________
__________
5.______________________
________________________
__________________
__________
6.______________________
________________________
__________________
__________
(Additional signatures can be added)
The registrant has permission to join Girl Scouts and the above leader has my permission to
register my daughter. I agree to the below Media Permission.
(I agree to have my daughter photographed for
print, videotaped, or electronically imaged while participating in Girl Scout activities. Images may be used in promotional materials,
news releases, and other published formats for either the local Girl Scout Councils or Girl Scouts of the USA. The images will be the
sole property of either the local Girl Scout Council or Girl Scouts of the USA.)
Girl Scouts’ Name
Parents Name (Please print)
Parents Signature
Date
1.______________________
________________________
__________________
__________
2.______________________
________________________
__________________
__________
3.______________________
________________________
__________________
__________
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