The Girl Scout Parent Permission Form is an important document for parents of Girl Scouts. This form gives permission for their child to participate in scouting activities, and also authorizes the release of medical information in the event of an emergency. Parents should always review and keep up-to-date on the permissions granted by this form.
Listed below are some information regarding girl scout parent permission form. It's worth taking a few minutes to read this prior to starting filling out your form.
| Question | Answer |
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| Form Name | Girl Scout Parent Permission Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | girl scout permission slip form, girl scout when to submit permission slip to council, girl scout field trip permission form, girl scouts permission slip |
Girl Scouts of Northern California with offices in: Alameda, Chico, Eureka, Red Bluff, Redding, San Jose, Santa Rosa, & Ukiah
T (800)
F (510)
Parent Permission Form
Parents keep top portion of form. Return bottom portion to Troop Leader.
Troop # |
Event, Trip or Activity |
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Date |
Time |
Location |
Phone Number |
Arrangements for Transportation: |
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Departure Time: |
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Departure Place: |
Mode of transportation: |
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Return Time |
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Return Place |
Mode of transportation |
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Cost for Event: |
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Equipment and Clothing: |
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Adult Volunteers Accompanying the Girls
Name(s) and Phone(s)
In case of emergency the following person will immediately notify the parents:
Emergency Contact Name |
Phone Number(s) |
~~~~~~~~~~~~~~~~~~~~~~~~~~Return bottom portion to Troop Leader~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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has my permission to participate in: |
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Name of Girl Scout |
Troop # |
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Event Name |
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Event Date |
She is in good physical condition and has not had any serious illness or surgery since her last health examination. I give my permission for my daughter to receive emergency medical or surgical treatment and to be hospitalized if necessary. It is understood that every attempt will be made to contact me. Or the second person below, before taking this action. During the activity I can be reached at:
Print Name of Parent/Guardian |
Signature |
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Address |
Phone Number(s) |
If I cannot be reached in the event of an emergency, the following |
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person is authorized to act on my behalf. |
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Emergency Contact Name |
Emergency Contact Phone Relationship to Child |
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Address |
City/State/Zip |
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Physician’s Name |
Physician’s Phone |
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Additional remarks |
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Forms_Parent_Permission_GSNorCal 4/14/2014