Fillable Activity Information 1. This form is a tool (Girl Scouts of Greater Los Angeles)

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Activity Information 1. This form is a tool (Girl Scouts of Greater Los Angeles)

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Rev. 01/2019
Activity Information
Date: _____________________ Activity Description: _______________________________________________________________
Destination Address: _________________________________________ City: _________________ State: _____ Zip: _________
Transportation to Meeting Point Walk Parent/Caregiver Private Vehicle Troop Carpooling Other _________________
Drop Off Location: _______________________ Time: __________ Pick up Location: ______________________ Time: __________
Troop/Group Pays: __________ Family Pays: __________ Purpose of Fee: _____________________________________________
Please Bring: _________________________________________________________________________________________________
Troop Information Required
Troop/Group #: __________ Level(s): D B J C S A Service Unit: __________________________________
Leader/Adult in charge: ___________________________________________________________ Phone: ______________________
Second Leader/Adult in charge: _____________________________________________________Phone: _______________________
Emergency Contact Person: ________________________________________________________Phone: _______________________
(Adult who is not attending event/activity)
Name of First-Aider: _______________________________________________ Certification Expiration Date: ___________________
(Valid certification in First Aid/CPR/AED trained Adult attending)
www.girlscoutsLA.org
EMERGENCY: (877) 423-4752
Annual Permission Notification Form
1. This form is a tool to help you with giving your parents/caregivers complete information for supplemental use of the Annual
Permission form.
2. Troop leaders are required to notify parents and SUM/designee, in print or electronically (as applicable) of the event/activity
and location, place and time of departure, place and time of return, mode of transportation, equipment/clothing needed,
amount of money needed by each girl, first aider, and troop/group emergency contact.
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Activity Information 1. This form is a tool (Girl Scouts of Greater Los Angeles)

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Completed 25 July 2021

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