Girl Scout Troop/groop Travel, Overnight, And Extended Application

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Date:

Service Unit:

Troop/Group:

Program Level: D

Girl Scouts of Central Texas

Troop/Group Travel, Overnight, and Extended Application

Submit the application, a complete Participant Travel Roster, and required certifications to your Service Unit Director three weeks before travel. SUD must

turn in travel application packet to Membership Development Executive (MDE) two weeks before travel. Note: applications for national and international are

due to SUD ten weeks in advance, SUD will forward to MDE no later than eight weeks in advance of travel.

This form does not take the place of the Intent to Travel for national and international trips.

ACTIVITY

(Choose all that apply)



Travel will meet Girl Scout educational expectations as defined by GSLE 15 outcomes (see Volunteer Essentials, Ch. 2 for a complete list)



Day Trip: Travel destination is more than 100 miles one way from troop meeting place.



Overnight stays: Girls staying past midnight, on a tour for more than 24 hours, overnight, and/or camping.



Building a fire

Local

State

Regional

National

International



High Risk Activities: requires certification

Water sport

Horses

Rock Climbing

Other

CERTIFICATIONS

(Attach copies of cards)



First Aid/CPR



Advanced First Aid Responder (if applicable to trip)



Let’s GO! 1: Out & About: Day trips staying out past midnight; or an overnight up to two nights with no outdoor cooking involved.



Let’s GO! 2: Fire, Food, & Fun: Indoor camping and building a campfire.



Let’s GO! 3: Outdoor Skills: Outdoor camping – tent, cabin, or platform, and outdoor cooking. One to two nights.



Let’s GO! 1, 2, & 3: (This course covers everything in Out & About, Fire, Food & Fun, and Outdoor Skills)



Let’s GO! Extra Mile: Travel more than 2 nights/3days – within state, regional, national, or international.



Chaperone: All adults traveling with troop/group have completed this course.

TRAVEL REQUIREMENTS



I have read and agree to abide by all Safety Activity Checkpoint requirements, and Council policies as listed in Volunteer Essentials.



I have received parent permission forms all girls on this trip, as applicable.



I have verified that all adult participants have a current Criminal Background Check on file with GSCTX.



I have verified that all drivers are licensed, and vehicles are registered and insured according to state requirements.



For trips more than 3 or more nights/out of state, national, international – Extended Trip Insurance will be purchased once the TTA is approved.



For non-members attending, troop/group will purchase non-member insurance if needed.

EVENT/ACTIVITY AND DESTINATION INFORMATION

If more than one destination of more than two nights, create and attach a travel itinerary that includes travel information, arrival/departure dates, names

of all facilities, addresses, and phone numbers.

Start Date & Time: __________________________ End Date & Time: ____________________________ Total # nights:

Primary Activity:

Secondary Activities:

Name of Facility/Place:

Phone:

Facility Address:



Travel by:

Parent Drop off/Pick up at Location:



Departure location: