Trip Approval Request Form Page 2
Download a blank fillable Trip Approval Request Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Trip Approval Request Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3Trip Approval Request
For Office Use Only:
� Yes � N
� Yes � N
Date:________________ Roster attached:
o Missing info requested:
o
Approval notice: via Email:_______________ via Mail:_______________ Initials:____________
Name:__________________________________________ SU#:________ Troop #:__________ Level:______________________
Destination Information
(Name, Address & Phone #)
Name:______________________________________________________________________ Phone:__________________________
Address:____________________________________________________________________________________________________
Date of Trip:_____________________________ Time:____________________________
Purpose of Trip
(i.e. Complete badge requirement or Journey session, etc.)
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Transportation Type:_________________________________ Charter Info
:_________________________________
(If required)
If using private cars, every girl must be in her own seatbelt & NYS laws regarding child safety seats must be followed.
Leader’s Information
Name:_______________________________________________________ Email:__________________________________________
Address:_____________________________________________________________________________________________________
Phone #:__________________________ Cell #:__________________________
Emergency Contact
Name:____________________________________________________________________ Phone #:__________________________
First Aid Coverage
Name:______________________________________________________________ Date of Certification:_____________________
Troop Camp Certification
(if reuired)
Name:____________________________________________________________________ Date Taken:________________________
GSSC Safety Guidelines have been met: � Yes � No • GSUSA Safety Activity Checkpoints have been met: � Yes
Safety Wise Requirements have been met: � Yes • Certificate of Insurance on file with GSSC: � Yes
# of Girls in Troop:__________ # of Girls going on trip:__________ # of Tag-alongs:__________# of Adults:__________
# of Girls from Other Troops attending:__________ Total # of Attendants:__________
(must match roster)
Total Cost of Trip for Entire Troop: $_________ • To cover costs: Troop Funds Pay: $__________ Girls Pay: $__________
Additional fundraising be required? � Yes � No • If yes, has Additional Fundraiser Application been filed? � Yes � No
If no, when will it be filed? Projected date: ______________________
Signature of Leader:_________________________________________________________________ Date:_____________________
Signature of SU Coordinator:_________________________________________________________ Date:_____________________
(or Designee)
Girl Scouts of Suffolk County • 442 Moreland Road, Commack, NY 11725 • (631) 543-6622 • gssc.us
2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business