Trip Approval Request Form Page 3
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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.
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3Troop Roster
Troop #:_____________ Trip to: ________________________________________________________ Date: _________________
Emergency Contact
Adult, Girl Scout
Full Name
Address
Phone #
or Tag-Along*?
Name
Phone #
*Tag-Alongs are: All unregistered adults, boys, and girls not of Girl Scout age. Any girl of Girl Scout age must be registered to attend any trip.
No trips will be approved without a roster. Please use the above form or provide one with your Trip Approval Form.
Please be sure to contact your SU Coordinator and GSSC if you have any additions or deletions from this roster. This information is
needed to ensure appropriate insurance coverage. Questions? Contact membership@gssc.us or call (631) 543-6622
Girl Scouts of Suffolk County • 442 Moreland Road, Commack, NY 11725 • (631) 543-6622 • gssc.us
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