Girl Scouts of Nassau County

Girl Scouts of Nassau County

Trip Application

 

A Trip Application is required for each activity held beyond the troop meeting place. This includes troop attendance at Association and Council-Wide events. A Trip Application is necessary to ensure that the activity is consistent with GSNC's Policies, Standards and Guidelines, and with Girl Scout Program Standards described in Safety-Wise and Updates. Girl Scout insurance is in effect only for activities that meet these requirements. This form should be filled out at least two weeks prior to the trip or event.  Trip Applications for Extended Trips (3 sleepover nights or more) require the purchase of additional insurance through Council, and must be submitted one month prior to departure.

Instructions:

  • Review Safety-Wise and Updates before completing the form.
  • Fill out those parts applicable to the activity which your troop has planned.  Required fields are marked with a star *
  • When you press the "Submit" button, the information will be sent to Council and your Association Trip Application Recipient. A SUMMARY of your responses will appear. 
  • PRINT OR SAVE A COPY OF THE SUMMARY FOR YOUR RECORDS.   Please check the SUMMARY for errors and resubmit the Trip Application if necessary.
  • If the Trip Application is not approved or there is a questionable entry, you will be contacted by Council or your Association.

 

This online form is processed by staff in the Service Center.  DO NOT send a paper copy to Girl Scouts of Nassau County.

 

Troop Information:
 
*Association
*Troop Number
*Program Level






Ambassador

*Trip Application submitted by
*Email of person submitting
*Leader attending/traveling with troop
*Leader's Day Phone
Leader's Cell Phone
Leader's Email
*Leader's Street Address
*Town/City
*Home Contact: Person not attending the trip who has list of all trip participants (name, address, phone).
*Home Contact's Name
*Home Contact's Day/Eve Phone
*Home Contact's Cell Phone
   

Trip Planning Checkpoints:

*Reviewed Safety-Wise Universal Checkpoints (pages 81-83)

*Reviewed applicable Safety-Wise Activity Checkpoints (pages 78 - 135 & Updates)
indicate applicable page numbers reviewed: * < This box-Number Entry Only

*Trip has been planned with troop/group members with respect to varying needs, abilities, and religious observances of all girls and adults.

Trip Information:

*Type of Activity:

 

Overnight and Extended Trips require an Itinerary.   Enter your Itinerary in the last section of this form OR send a copy of your Itinerary to both Girl Scouts of Nassau County (seekampd@gsnc.org or fax # 516.741.2207) and your Association CAV or Trip Application Recipient.   Be sure to include your troop number, date of overnight and contact information.
    

Departure:

*Date

*Time

Return:

*Date

*Time

 

*Trip Destination:

*Destination Address

*Destination Telephone

*Program Description: How does this trip relate to your program level?

Trip Participants:

# of troop girls on trip *

# of adults on trip *
All trips require 2 adults or more. See Adult Coverage Chart. Include parents, if they are attending.


# of tagalong children * Make sure your tagalong insurance is current.

GIRL SCOUT GRADE LEVEL

 TWO (2) ADULTS FOR THE FIRST

ONE (1) ADULT FOR ANY ADDITIONAL    
Girl Scout Daisy (K-1)

 6

 4 or fewer

Girl Scout Brownie (2-3)

 12

 6 or fewer

Girl Scout Junior (4-5)

 16

 8 or fewer

Girl Scout Cadette (6-8)

 20

 10 or fewer

Girl Scout Senior (9-10)

 24  

 12 or fewer

Girl Scout Ambassador (11-12)  24     12 or fewer

Trip Budget:       60% troop participation is required to use troop funds.   (To calculate % of    participation, divide the # of girls participating in the trip by the # of girls registered in the troop.)

*Total Cost $ per girl < This box-Number Entry Only

*Troop Treasury will pay $ per girl < This box-Number Entry Only

*Participant will pay $ < This box-Number Entry Only

*Total # of girls registered in troop


Transportation:

Girl Scouts of Nassau County does not permit use of 15 passenger vans.

*Mode of Transportation: (parent's responsibility)

Chartered Bus 


          Name of Bus Company

          Telephone

Contact hopper@gsnc.org to verify that the Bus Company or Travel Agency has a Certificate of Insurance on file with Girl Scouts of Nassau County.

Travel Agency

         Agency Name
         
         Telephone

Other Transportation (describe)

 

*Is additional accident insurance required? [Required for Extended Trip (3 sleepover nights or more)]



Overnight Itinerary or Additional Trip Information:

* Required field


 


Copyright © 2008 Girl Scouts of Nassau County, Inc.   All Rights Reserved.