Team Agreement
for SeaPerch Teams
Girl Scouts of Eastern Missouri Inc. (GSEM) is pleased to offer the opportunity for girls to participate in
the SeaPerch program during the 20202021 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 Commitments:
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 or Fall Product Program.
We understand that we are required to attend the St. Louis Regional Event, 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 GSEM.
We understand the main season of the SeaPerch program runs January-April 2021.
We understand that the season may be extended through to June 2021, for the SeaPerch
Nationals if our team advances to that level.
We agree that GSEM will provide team t-shirts with appropriate sponsor logos for up to ten girls
and two coaches.
We agree to provide a secure location for team equipment to be stored until it is returned to
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.
We agree to pay $100 for our team to participate in the Girl Scout SeaPerch Program. Our team can
participate in approved money earning activities, such as the Girl Scout Cookie Program and Fall Product
Program, to help raise funds for the team. Activity scholarships are available based on need.
We agree to maintain at least 2 team members on our team.
We understand that our team is required to participate in the St. Louis Regional SeaPerch
Competition in April 2021, regardless of how far the team has progressed.
We understand our team will be asked to volunteer at promotional events GSEM 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 to abide by Girl Scout troop trip guidelines if traveling outside the GSEM
Adult Commitments:
We agree to provide the following girl / adult ratio for each team:
Two adults to every 12 girls in grades K-1, plus one additional adult for every six girls.
Two adults to every 20 girls in grades 2-3, plus one additional adult for every eight girls.
Two adults to every 25 girls in grades 4-5, plus one additional adult to each additional 10 girls.
Two adults to every 25 girls in grades 6-8, plus one additional adult to each additional 12 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 GSEM volunteer application
process, which includes authorization for a background screening to be conducted through Girl
Scouts and its acting agencies.
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 Robotics Program Manager 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 June,
We agree to work with Girl Scouts’ Communications Department on any team publicity.
Coach Signature ______________________________________________________________
Date _________________
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Groups from GSEM interested in competing in the SeaPerch program for the 2020-2021 season should
complete the form below and return, by December 11
, to:
Lauren Kornegay Dollar
Girl Scouts of Eastern Missouri (GSEM)
2300 Ball Drive
St. Louis, MO 63146
314-214-3044 fax
Support (equipment, shirts, etc.) is awarded on a first-come, first-served basis until all
available positions have been filled or the deadline passes.
SeaPerch teams are for girls in 3rd-12th grade.
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 related to 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 ___________________
Team Members (tentative list, max of 10 girls)
Girl Name and Address
grade School Troop
Phone Number
Disability Information
Girl Scouts of Eastern Missouri welcomes the participation of all girls and adults and will make
reasonable accommodations to persons with disabilities. To help GSEM 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
Do you need a reasonable accommodation? _____Yes _____No
Through community support, GSEM is able to support a limited number of teams for the SeaPerch
season. Team support will be allocated on a first-come, first-served basis, and GSEM will notify your
team in January if they are funded.
Equipment will be issued upon receipt of the team application, team agreement, and photo releases.
Coach Signature ______________________________________________________________
Date _________________
For Office Use Only
Date Application Received ________________
Name of staff approving ___________________________________________________
Signature of staff approving _________________________________________________
Date __________
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