2024-2025 Product Program Family Agreement Form
This form must be completed by the parent/caregiver for a Girl Scout to participate in the Girl Scouts in the Heart of Pennsylvania’s Product Programs. Order cards and other materials will not be distributed until this form has been received by the Troop Leader.
Girl Scout Name
*
First Name
Last Name
Troop #
*
Parent/Caregiver Name:
*
First Name
Last Name
Relationship to Girl Scout
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Please enter a valid phone number
Parent/Caregiver Email:
*
example@example.com
Troop Leader Email:Please ensure this is the troop leader email address as a copy of your agreement will be emailed to your troop leader.
*
example@example.com
By entering my name below, I understand that only a Girl Scout registered for the 2024-2025 Girl Scout year is permitted to sell Girl Scout products. I understand that products cannot be returned to Girl Scouts in the Heart of Pennsylvania for any reason. I understand and agree that if I do not pay for the products ordered and accepted by my Girl Scout, Girl Scouts in the Heart of Pennsylvania may take collection action against me. I will be responsible for any and all costs incurred, including attorney fees, court costs, and interest.
*
Please verify that you are human
*
Submit
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