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Team Agreement
For New
FIRST
®
TECH CHALLENGE (FTC)
Girl Scouts of Eastern Missouri Inc. is pleased to offer the opportunity for girls to participate in the
FIRST® TECH CHALLENGE during the 2020-2021 season. The Coach, as named in this Agreement, acting
on behalf of the Team agrees to the following. Please initial each applicable item on the next page,
provide the contact information requested, and return original copy to Girl Scouts of Eastern Missouri.
Team Commitment:
We understand that we are an official Girl Scout Troop and are aware of Girl Scout Troop
requirements, such as participating in the Cookie Program and Fall Product.
We understand that we are required to attend a competition, either an Expo or Qualifier,
and that failure to do so will result in a $100 fine.
We understand that if we do not continue with the program it is our responsibility to
return the equipment to Girl Scouts of Eastern Missouri.
We understand the main season of the FTC program runs September 2020 through February
2021.
We understand that the season may be extended through the World Championships, in April
2021, should our team advance to that level.
We agree to provide a secure location for team equipment to be stored until it is returned to Girl
Scouts.
We agree Girl Scouts of Eastern Missouri will provide team t-shirts with appropriate sponsor
logos for up to ten girls and two coaches and to sign up for the new coach training that will be
offered in the winter at the Girl Scouts of Eastern Missouri Service Center.
We agree to provide a secure location for team equipment to be stored until it is returned to Girl
Scouts.
We agree to keep equipment clean and in good condition for the duration of the program and to
use it only in the manner in which it is intended for this program. Robot kit pieces must be
organized separately and returned to Girl Scouts in an organized fashion.
We understand that the full cost of participation for our Robotics Team is $2,362. This price includes
registration fees, equipment and other team materials. Girl Scouts of Eastern Missouri, with generous
support, is covering 60% of the team’s expenses ($1,417.20). For returning Girl Scout teams, Girl Scouts of
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Eastern Missouri is also providing a program credit of $500 as an additional investment in girls and teams
choosing to stay committed to the program.
We agree to pay 40% of the cost ($944.80 for a new troop or $444.80 for a returning troop) by
August 3rd, 2020 for our team to participate. Our team can participate in approved money earning
activities, such as the Girl Scout Cookie Program, to help raise funds for the team. Activity scholarships
are available if there is a need. Please see attached form.
We agree to participate in the Kickoff event and a Qualifier.
We agree to provide all paperwork by stated deadlines, including, but not limited to surveys,
amount of time spent on project, photo releases and photos.
We agree to notify the Girl Scout Robotics Coordinator in a timely manner if significant delays or
setbacks occur.
We agree to submit digital photos of girls and adults engaged in the program activities by March
31, 2021.
We understand that our team is required to participate in the FTC Regional Qualifying
Tournament, regardless of how far the team has progressed.
We agree to work with Girl Scouts Communications Department on any team publicity.
We understand our team will be asked to volunteer at promotional events Girl Scouts hosts, and
we are willing to help out as much as we can.
We agree to clearly identify ourselves as Girl Scouts in any recruitment event, media event, or
competition and abide by Girl Scout troop trip guidelines if traveling outside the Council
boundaries.
We agree to maintain at least five girls on our team.
We agree to participate in at least two outreach activities that will reach an additional 50 youth
(examples include school presentations or neighborhood demonstration), in order to share my
team’s accomplishments and the benefits of participating in robotics.
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Adult Commitments:
We agree to provide at least one adult volunteer to help at one FIRST event (Expo or
Qualifier).
We agree to provide the following girl / adult ratio for each team:
Two adults to every 30 girls in grades 9-12, plus one additional adult to each additional 15 girls.
We agree that during team meetings, at least one of the adults present is an adult female who is
not related to the other adult.
We agree to have any adult working with the team complete the Girl Scouts of Eastern Missouri
volunteer application process, which includes authorization for a background screening to be
conducted through Girl Scouts and its acting agencies.
We agree that the two adult coaches will comply with the USFIRST Youth Protection Program.
Coach Signature ______________________________________________________________
Date _________________
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signature
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Groups of Girl Scouts interested in competing in the FIRST Tech Challenge (FTC) program for the 2020-
2021 season should complete the form below and return, by July 3rd, to:
Lauren Kornegay Dollar
Girl Scouts of Eastern Missouri
2300 Ball Drive
St. Louis, MO 63146
314-214-3044 fax
314-592-2376
Support is awarded on a first-come, first-serve basis until all available positions have been
filled or the deadline passes.
Team Name: ________________________________________________________
Adult Coach (does not have to be troop leader, must be/become registered Girl Scout)
Name __________________________________________________________________
Address ________________________________________________________________
City _______________________________ State _____ Zip ______________
Day Phone ____________________________ Evening Phone ____________________
Adult E-mail _____________________________________________________________
Ethnicity _____________________________ Currently registered (Y/N) __________
Troop _________________ District/Neighborhood _______________
Additional Adult (cannot be spouse of coach, must be/become registered Girl Scout)
Name __________________________________________________________________
Address ________________________________________________________________
City _______________________________ State _____ Zip ______________
Day Phone ____________________________ Evening Phone ____________________
Adult E-mail _____________________________________________________________
Ethnicity _____________________________ Currently registered (Y/N) __________
Troop _______________ District/Neighborhood _________________
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Team Members (tentative list, min. 5 and max. of 35)
Girl Name and Address
2020-2021
Grade
School
Troop
Email
Phone
Race/
Ethnicity
1
2
3
4
5
6
7
8
9
10
Disability Information
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Girl Scouts of Eastern Missouri welcomes the participation of all girls and adults and will make
reasonable accommodations to persons with disabilities. To help Girl Scouts of Eastern Missouri better
serve your child, please indicate whether the participant is in need of a reasonable accommodation in
order to fully participate in the program. The Program Manager will contact you to answer questions and
discuss accommodation requests. You can also contact the Answer Center directly at 314.400.4600 or
answercenter@girlscoutsem.org.
Do you need a reasonable accommodation? _____Yes _____ No
Girl Scouts of Eastern Missouri receives grants to support girl robotics programs. As funding is finite,
Girl Scouts of Eastern Missouri is only able to support a certain number of teams for the 2019-2020
Season. Funds will be allocated on a first-come, first-served basis. Teams will be notified in July if they
are funded.
Coach Signature ______________________________________________________________
Date _________________
For Office Use Only
Date Application Received ________________
Name of staff approving ___________________________________________________
Signature of staff approving _________________________________________________
Date __________
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