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Girl Scouts of San Jacinto Council
2024 Fall Product and 2025 Cookie Program Parent/Guardian Permission and Responsibility Form
Girl's Name
*
(as she is registered)
Troop #
*
Please enter exact troop number (e.g. 00123 not just 123)
Community
*
Please Select
Unknown
Special Interest Group (CMU000)
Dogwood Wonders (CMU001)
Pine Village (CMU002)
Tannybo (CMU003)
Pine Forest (CMU004)
Magnolia Blossom Hills (CMU005)
Spring Creek Trails (CMU006)
Lone Star Trails (CMU007)
Woodland Trails (CMU008)
Heart of Texas (CMU009)
Firefly Trails (CMU010)
Wildflowers (CMU011)
Cypress Bend (CMU012)
Copper Creek Meadows (CMU013)
Klein Trails (CMU014)
Rainbow Trails (CMU015)
TopFlowingTrails (CMU016)
Emerald Pines (CMU017)
Blossom Creek (CMU018)
Magic Blossom Trails (CMU019)
Heritage Trace (CMU020)
Rose Petals (CMU021)
Emerald Oaks (CMU022)
Bending Bayou (CMU023)
Rainbow's End (CMU024)
Tall Pines Hill (CMU025)
Harmony Creek (CMU026)
Island Creek (CMU027)
Western Horizon (CMU028)
Way Out West (CMU029)
Golden Coast (CMU030)
Eastern Thicket (CMU031)
East Enders (CMU032)
Crystal Cove (CMU033)
Monument (CMU034)
Skyline Junction (CMU035)
Gulf Meadows (CMU036)
Gulf Coast Stars (CMU037)
Tonkawa Trailblazers (CMU038)
Clear Creek (CMU039)
Stargazers (CMU040)
Sunshine Stars (CMU042)
Shooting Stars (CMU043)
Lone Stars (CMU044)
Braes Oaks (CMU046)
South Bridge (CMU045)
Willow Rock (CMU047)
Westmoreland (CMU048)
Buffalo Trail (CMU049)
Windcatchers (CMU050)
Brazos Valley (CMU051)
Lone Star Treasures (CMU052)
Yellow Rose (CMU053)
Heart Of Brazos (CMU054)
Wharton County (CMU055)
Bay Pals (CMU056)
Colony Creek (CMU057)
Trinity Treasures (CMU058)
Grade
*
Please Select
Pre-kindergarten
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Birth Date
*
-
Month
-
Day
Year
School
I give my Girl Scout permission to participate in San Jacinto Council’s Fall Product and Cookie Program Sales for the 2024-2025 program year.
I agree to read and abide by the
Digital Cookie®—Girl Scout Digital Cookie Pledge
I agree to give payment directly to the troop product program manager or leader by the dates requested.
I understand that I am assuming personal responsibility for all products and money received and for full payment due to the troop/group and Girl Scouts of San Jacinto Council.
I will not collect more than the set price of the product.
I understand unsold products cannot be returned or exchanged.
I will not sell expired nuts and candy or cookies.
I understand that the 2024 Fall Product Program and the 2025 Cookie Program proceeds belong to the troop/community and the funds can only be used for Girl Scout activities and cannot be retained by individuals as their property.
I understand that failure to account for money and products received will be considered misappropriation of funds and all unpaid funds will be turned over to a collection agency or the courts for action.
Parent/Guardian Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Work Phone
Parent/Guardian Email
*
example@example.com
Employer
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
Submit
Should be Empty: