Girl Email:
Girl Cell Phone:
Primary Phone:
Secondary Phone:
Annual Permission Form
Please refer to the COVID-19 Checklists on the GSNorCal website before completing this form. It contains the requirements that
must be met for in-person Girl Scout activities to take place in a county and will help volunteers and families determine when
and how to plan, host and participate in any event safely and in compliance with county guidelines, and to understand and
accept the inherent risks involved in any in-person meeting or activity due to COVID-19.
Kindly note that all indoor in-person meetings and service unit events and activities have been suspended for now. More
information can be found on our GSNorCal webpage in the section, called Coronavirus Updates: Working Together to Keep Our
GSNorCal Community Healthy.
Permission to Participate in Product Program: My girl member has permission to participate in the Fall Take Action and Cookie
Product Programs. I agree to accept financial responsibility for all products and money she receives and understand that Girl Scouts reserves the
right to take appropriate action to secure payment for product received by me. I further understand that she must have adult guidance at all
times when participants in a Girl Scout product sale program and that my girl member may not take product orders before the official start of the
product program dates as determined by Girl Scouts of Northern California.
Girl Scouts of Northern California | gsnorcal.org | 800.447.4475 | info@gsnorcal.org | September 2020 Page 1 of 2
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Girl Scouts of Northern California | gsnorcal.org | 800.447.4475 | info@gsnorcal.org | September 2020 Page 2 of 2