Girl Scout Trip Notification Form
ATTENTION LEADERS GO TO THIS LINK TO FILL OUT THE NEW COUNCIL TRIP NOTIFICATION: https://gshcc.wufoo.com/forms/z1bpo6uc17bk4k6/

DO NOT FILL OUT BELOW


FOR ALL OVERNIGHTS, OR TRIPS of more than 100 MILES ROUND TRIP, complete and forward this form to your service unit manager prior to your trip.

Follow all checkpoints listed in the current Safety Activity Checkpoints. When checkpoints and established council notification procedures are followed, you have permission to participate in that activity. Safety Activity Checkpoints: https://www.girlscoutshcc.org/content/dam/girlscouts-girlscoutshcc/documents/Safety_Activity_Checkpoints.pdf

For an overnight trip, submit at least seven days prior to your trip (If there is not a service unit manager, or if the service unit manager is the troop leader, send to your volunteer management specialist). The service unit manager will send required notifications to the council office.

Trip definitions and planning procedures are on 2nd page of the Trip Notification https://www.girlscoutshcc.org/content/dam/girlscouts-girlscoutshcc/documents/899_Trip_Notification.pdf

If this is an extended trip (250 miles or more), there are different forms to be submitted. Please contact your Service Unit Manager for details

PLANNING/PROCEDURES
1. Complete, when required, the Trip Notification form #899 and forward to your service unit manager.
2. To request Additional Insurance Form #3548, contact the Insurance Specialist at the Program Center in Sacramento.
3. Some activities/trips require that a first-aider go with your troop. Look up your activity in Safety Activity Checkpoints and see if a first-aider is required.
4. Swimming, water skiing, and wind surfing require a lifeguard. Canoeing, kayaking, rafting, tubing, row boating, and sailing require documented experience and/or certification. Read Safety Activity Checkpoints specific information about these activities.
5. If you are going camping, a troop camp certified adult must accompany the troop. This person will also help the troop prepare for camping.
6. If you are going backpacking, a backpack certified adult must accompany the troop. This person will also help the trip prepare for camping.
7. Be sure to follow and practice the Leave No Trace Principles appropriate to your activity
8. Ensure that each driver has a packet that contains:
Guidelines for Drivers (form #898).
Parent Permission to Participate (form #161) OR blue permission slips (form #695) for each girl in vehicle.
The name and phone number of the at home emergency contact person.
A map to follow with pre-planned stops clearly marked.

Email address *
Begin Date (mm/dd/yy) *
Your answer
End Date (mm/dd/yy) *
Your answer
TYPE OF TRIP *
SERVICE UNIT *
Required
Troop Number
Your answer
AGE LEVEL *
NUMBER OF GIRLS ATTENDING *
Your answer
NUMBER OF ADULTS ATTENDING *
Your answer
DESTINATION SITE *
Your answer
DESTINATION SITE ADDRESS (STREET, CITY, STATE, ZIP CODE) *
Your answer
LOCATION OF EMERGENCY PHONE NEAREST TO SITE (INCLUDE AREA CODE & NUMBER) *
Your answer
NEAREST HOSPITAL, URGENT CARE - PHONE NUMBER & INCLUDE STREET, CITY, STATE, ZIP CODE *
Your answer
Transportation: # of private car(s)
Your answer
Transportation: # of buses
Your answer
Other type of transportation used:
Your answer
Departing from: *
Your answer
Departure time (time & am/pm) *
Your answer
Return to
Your answer
Return time (time & am/pm) *
Your answer
Name of at home emergency person
Your answer
Emergency person Day Phone (include area code)
Your answer
Emergency person evening number (include area code)
Your answer
PLANNED ACTIVITIES *
Your answer
CHECK Safety Activity Checkpoints to find out if any of the following are required for your trip. Complete appropriate fields.
FIRST AIDER, FIRST AND LAST NAME
Your answer
First Aider Phone
Your answer
Date first aid completed (mm/dd/yr)
Your answer
Date CPR completed (mm/dd/yr)
Your answer
Certified Aquatics Supervisor name
Your answer
Type of Aquatic Certificate
Your answer
Date Life guarding training completed (mm/dd/yr)
Your answer
Name of certifying agency
Your answer
Waterfront Module - Year:
Waterfront Module - Number:
Your answer
Troop Camp Certified Adult
Your answer
Phone
Your answer
Date of Training (mm/dd/yy)
Your answer
Name of Leader
Your answer
Cell Phone
Your answer
Home phone or day phone
Your answer
Address (include: street, city, state, zip code)
Your answer
Adult in charge, if other than leader
Your answer
Phone Number
Your answer
Additional information or comments
Your answer
A copy of your responses will be emailed to the address you provided.
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