Based on Girl Scout North Carolina Coastal Pines In-Person Activity Guidance. GSNCCP is committed to providing a
safe environment for girls, volunteers, families, and the greater community. As we begin to resume in-person activities,
it is important that we follow national, state, and local guidance to help minimize the spread of COVID-19.
Prior to participating in any in-person troop or group Girl Scout activities, I agree to:
Do a health check and stay home if my Girl Scout or household members show any of the following symptoms-
o Fever (100.4 degrees Fahrenheit or above)
o Cough
o Shortness of breath
o Sore throat
o Headache
o Muscle aches
o Loss of smell or taste
Complete review the Girl Scouts North Carolina Coastal Pines Volunteer and Member Self-Screening Checklist
prior to each in-person meeting, event, and/or activity to ensure participant(s) are meeting current health
screening guidelines.
Follow good hygiene practices.
o Wash hands thoroughly for 20 seconds or use hand sanitizer
o Cover coughs and sneezes with an elbow or tissue and throw away after use
Use social distancing.
o Maintain a 6-foot distance from others when possible.
o Refrain from hugs, handshakes, “high-fives”, and the friendship squeeze.
Report COVID-19 positive test results to Girl Scouts- North Carolina Coastal Pines. If your Girl Scout receives a
positive test result within 14 days of participating in an in-person activity, please report this to Girl Scouts
North Carolina Coastal Pines at Staff will contact the families of anyone
who may have been exposed during the activity. All information will remain confidential.
Wear a face covering or mask. In accordance with NC executive orders, masks or face coverings are required at
all indoor activities and strongly encouraged at all outdoor activities where social distancing of at least six feet is
not feasible to protect yourself and others from spreading or contracting COVID-19. Some people may not be
able to wear a mask due to medical conditions, and individuals should only wear a mask if they can reliably
wear, remove, and handle the mask during the activity.
I understand Girl Scout members are not required to participate in any activity. It is the sole discretion of each individual
family and their comfort level with the planned activity. If my Girl Scout will participate in person, we will follow the
guidance listed above to the best of our ability.
PRINT Girl Scout Name: ________________________________________________ Troop Number: ___________
Parent/Guardian Signature: ______________________________________
PRINT Parent/Guardian Name: ___________________________________
Date: ________________________________________________________
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