Gsneny Troop Or Group Intent To Travel Form

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GSNENY Troop or Group Intent to Travel Form
Please review the GSNENY Troop or Group Travel Guidelines before completing this form, and for
information about what forms you should collect, review the Travel Form Requirements document.
Troop Information
Today’s Date: ___________________ Troop #: __________________ Service Unit #: _____________________
Age Level(s):
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Leader’s Name: _____________________________________________ Phone: ___________________________
Email Address: _______________________________________________________________________________
Mailing Address: ______________________________________________________________________________
Street
City
State
Zip
Trip Information (Attach additional pages as needed)
Start Date / Time of Trip: ________________________ End Date / Time of Trip: ___________________________
Destination(s): _______________________________________________________________________________
Brief Trip Description (service learning, adventure, etc): _______________________________________________
___________________________________________________________________________________________
Are there high risk activities on this trip? Yes
No
If yes, type of activities: ___________________________
How were the girls involved in the planning for this trip? _______________________________________________
How have the girls prepared for this trip? ___________________________________________________________
Who will attend this trip? ______ Adults and ______ Girls
*All participants must be registered Girl Scouts*
Adult Participants and Certifications
(The adults listed below are participating on this trip and have completed the necessary training for this trip. See
Volunteer Essentials, Travel Appendix, and Troop or Group Travel Guidelines for travel certification requirements. Submit copies of certifications with application.)
Role
Certifications / Trainings
(i.e. Trip Leader,
(i.e. First Aid/CPR, RTE,
Date
Approved
Name
Age
First Aider/CPR)
Travel 101: submit copies)
Completed
Expiration
(by Council)
Transportation:
Private
Certificate of Insurance?
Leased/Rented
Company:
________
Bus
Company:
________
Train
Company:
________
Plane
Airline:
________
Watercraft
Company:
________

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