Girl Scout Permission Slip Form Details

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.

Form NameGirl Scout Parent Permission Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesgirl scout permission slip form, girl scout when to submit permission slip to council, girl scout field trip permission form, girl scouts permission slip

Form Preview Example

Girl Scouts of Northern California with offices in: Alameda, Chico, Eureka, Red Bluff, Redding, San Jose, Santa Rosa, & Ukiah

T (800) 447-4475

F (510) 633-7925

Parent Permission Form

Parents keep top portion of form. Return bottom portion to Troop Leader.

Troop #

Event, Trip or Activity









Phone Number

Arrangements for Transportation:







Departure Time:


Departure Place:

Mode of transportation:





Return Time


Return Place

Mode of transportation





Cost for Event:


Equipment and Clothing:


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~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



has my permission to participate in:




Name of Girl Scout

Troop #




Event Name


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





Phone Number(s)

If I cannot be reached in the event of an emergency, the following

person is authorized to act on my behalf.



Emergency Contact Name

Emergency Contact Phone Relationship to Child







Physician’s Name

Physician’s Phone



Additional remarks


Forms_Parent_Permission_GSNorCal 4/14/2014

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