G-1 Permission And Responsibility Form

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G-1 Permission and Responsibility Form
2016 Fall Product Sale Program and 2017 Cookie Sale Program
Please return completed form to your Girl Scout troop prior to participating in these programs.
(First and last name) _______________________, a member of Troop # ________ in _______________ county/area
has permission to participate in the Fall Product Sale Program and/or the Cookie Sale Program.
By signing below I agree that I
will pay for the products she receives by the deadlines set by Girl Scouts – NC Coastal Pines
will make sure that she does not sell products prior to the dates set by Girl Scouts – NC Coastal Pines
will make sure that she has adult supervision and guidance while participating in these programs
understand that products cannot be returned once they have been signed for and must be paid for in
full
Please circle T-shirt size of your Girl Scout: YS YM YL AS AM AL AXL AXXL (Y=Youth A=Adult)
Name of parent/guardian (please print): ________________________________________________
Signature of parent/guardian: ________________________________________________________
Home #: (____) ________________Work #: (____) __________________ Cell #: (____) __________________
Street Address: __________________________________Email ______________________________________
(no Post Office Boxes)
City: ____________________Zip Code: _____________ County: _____________________________
Driver’s License #: _______________ State: ______
Employer: _____________________________________
Troops –
please hold onto this form until after the 2017 Cookie Sale is complete. Make a copy of completed forms for
st
your records and give original forms to your Area Product Sales Manager by April 1
if you have a parental collections
issue only. Otherwise, please save the forms for 1 year and then discard.
G-1 Permission and Responsibility Form
2016 Fall Product Sale Program and 2017 Cookie Sale Program
Please return completed form to your Girl Scout troop prior to participating in these programs.
(First and last name) _______________________, a member of Troop # ________ in _______________ county/area
has permission to participate in the Fall Product Sale Program and/or the Cookie Sale Program.
By signing below I agree that I
will pay for the products she receives by the deadlines set by Girl Scouts – NC Coastal Pines
will make sure that she does not sell products prior to the dates set by Girl Scouts – NC Coastal Pines
will make sure that she has adult supervision and guidance while participating in these programs
understand that products cannot be returned once they have been signed for and must be paid for in
full
Please circle T-shirt size of your Girl Scout: YS YM YL AS AM AL AXL AXXL (Y=Youth A=Adult)
Name of parent/guardian (please print): ________________________________________________
Signature of parent/guardian: ________________________________________________________
Home #: (____) ________________Work #: (____) __________________ Cell #: (____) __________________
Street Address: __________________________________Email ______________________________________
(no Post Office Boxes)
City: ____________________Zip Code: _____________ County: _____________________________
Driver’s License #: _______________ State: ______
Employer: _____________________________________
Troops –
please hold onto this form until after the 2017 Cookie Sale is complete. Make a copy of completed forms for
st
your records and give original forms to your Area Product Sales Manager by April 1
if you have a parental collections
issue only. Otherwise, please save the forms for 1 year and then discard.

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