Fillable Emerson Resource Center Equipment Request Form (Girl Scouts of Eastern Missouri)

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Emerson Resource Center Equipment Request Form (Girl Scouts of Eastern Missouri)

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The Emerson Resource Center Equipment Request Form (Girl Scouts of Eastern Missouri) form is 2 pages long and contains:

  • 1 signature
  • 136 check-boxes
  • 16 other fields

Country of origin: US
File type: PDF

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Emerson Resource Center
Equipment Request Form
To reserve equipment, submit this form to GSEMShopandERC@girlscoutsem.org or call
314-592-2378. Equipment may be checked out for a maximum of four weeks. The
Emerson Resource Center reserves the right to change the length of the loan period
during times of high demand. All equipment is subject to availability. Programs in a Box
returned late will be charged $0.50 per day, and all other equipment returned late will
be charged $0.05 per day. Late fees accrue over holidays and weekends. A deposit of $25 is required for all Programs in a Box and
for some equipment. You can find descriptions for all our Programs in a Box at https://www.girlscoutsem.org/programsinabox.
(*) denotes that the item requires a $25 deposit
Program Boxes*
STAFF USE ONLY
Date submitted:
Date requested:
Date due:
Name (Last, First):
Address: City: Zip Code:
Email: Phone:
Troop #: # of Girls: Level:
Deposit (circle one): Check or Credit Card
I agree t
o be responsible for the items I have requested for check out. I understand that all items I have requested might not be
available on the requested date. I agree to pay all fines on equipment returned late. My deposit will be returned to me when I
have returned all borrowed equipment on time and in good condition.
Signature: Date:
STEM
Daisy
Animal Adventures
GoldieBlox: Making
Things Zoom
Brownie
GoldieBlox: Making
Things Zoom
Weather Bug
Junior
Space Rocks
Multi-level
5 Senses
Amazing Human Body
Engineer Girls
Fun with Forensics
littleBits™
Super CSI
MONEY MANAGEMENT
Daisy
Coin Celebration
Brownie
Needs vs. Wants
Junior
Shop ’Til You Drop
Cadette
Dining Out
Senior/Ambassador
Condensing Business
Multi-level
Banking and Buying
Budgets
Wants vs. Needs
HEALTH
Daisy
Strike a Pose
Brownie
Get Up and Move
Junior
Healthy Eating
Cadette
My Strong Body
Senior/Ambassador
Don’t Stress About It
Multi-level
Safety First
Social Butterfly
CEREMONY/EVENT
Investiture &
Rededication
OUTDOOR
Let’s Go Camping
SERVICE
Community Service
Community Service:
Animals
__ Community Service:
Do a Good Turn Daily
GENERAL
Self-Esteem
click to sign
signature
click to edit
Visit the Emerson Resource Center to rent books, CDs, and DVDs.
Ceremony Equipment
Other Kits/Equipment
FLAGS*
American Flag
3’x 5’ 2’x 3’
Girl Scout Flag
3’x 5’ 2’x 3’
WAGGGS Flag (3’x 5’ w/ 8’ poles)
State of Missouri Flag
3’x 5’ 2’x 3’
Daisy Flag (2’x 3’)
Brownie Flag (2’x 3’)
For Which It Stands: Flag Etiquette
Signaler Flag Set
WAGGGS Flags (3’x 5’)
(call or email for country list)
Mini WAGGGS Flag Set
(call or email for country list)
Bronze Award Banner
Silver Award Banner
FLAG EQUIPMENT
Flag Belts
#
Flag Stands
#
Red Sashes
#
White Gloves
# of pairs
PROPS*
Bridging Posts
Daisy Petal Ceremony
Flag Recipe
Log Candle Holders
Parade Banner (2’x 7’)
Table Cover w/ Girl Scout Logo
6 ft. 8 ft.
WAGGGS Pin
Wishing Well
OUTDOOR
BUGS Kit*
Compass
#
First Aid Backpack
GPS Unit*
Hiking Backpack
Knife Safety Kit*
Knot Tying Kit
Letterboxing Kit*
Lummi Stick Kit*
Outdoor Art Bag*
PEAK: Promoting Environmental
Awareness in Kids Kit
Play Parachute*
12 ft. 24 ft.
Rope Maker*
#
Sky Scout: Personal Planetarium*
Two-Way Radio*
GIRL SCOUT HISTORY
Archive Traveling Trunk*
1912 1940s
1960s 1970s
Girl Scout Uniform Kit
Juliette Low’s Savannah GA Kit
Kim’s Game
WAGGGS WORLD CENTRES KITS*
Kusafiri, Africa
Our Cabaña, Mexico
Our Chalet, Switzerland
Pax Lodge, United Kingdom
Sangam, India
MISCELLANEOUS
Ancient Egypt Box*
Anti-Bullying Kit
Grades 3-5 Grades 6-9
Grades 4-12
Button Maker*
Computer Room Rental*
Cookie Twister*
Council Puzzle
Disability Awareness Kit*
Easel
__ Girl Scout Cookie Game
Girl Scout Cookie Safety Bingo
Handbell Activity Kit*
Jamtown Percussion Adventure*
__ Jewelry Making Tools*
Leather Working Tools*
Lewis & Clark History Trunk*
Multicultural Rhythm Instruments*
No-Sew Fleece Blanket Community Service
Project Kit*
Portable Address (PA) System*
Scrapbooking Tools*
Service Kit: Dress A Girl Around the World
STEM
Discovery Kit: My Body – Senses
GoldieBlox: Dunk Tank
GoldieBlox: Parade Float
Lego Activity Set
Robot Turtles
Snap Circuits Kit
MONEY MANAGEMENT
Charge Large
Piggy Bank Game
Pizza Fraction Fun
SMATH Kit
HEALTH
Fitness Dice
Jump Ropes
# Double Dutch # Chinese
Ribbon Dancer
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Emerson Resource Center Equipment Request Form (Girl Scouts of Eastern Missouri)

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Completed 9 May 2021

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