2026-2027 Parent Debt Form

2026-2027 Parent Debt Form

Troops must complete this form to report a parent or guardian who owes money to the troop from either the Fall Product Program or the Cookie Program. Once submitted, the reported amount will be deducted from the total balance owed by the troop.Important: If a parent or family contacts you to pay their Parent Debt after this form has been submitted, do not accept payment. Instead, direct them to troopbanking@gshpa.org for payment instructions.Please submit one (1) form per girl.
Name of Girl Scout

First NameLast Name
Name of Parent/Guardian who signed the Parent/Guardian Family Agreement.

First NameLast Name
Additional Parent/Guardian Name (if applicable)

First NameLast Name
5-Digit Troop Number
Service Unit Number
Address of Girl Scout

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Parent/Guardian

Area CodePhone Number
Additional Phone Number of Parent/Guardian

Area CodePhone Number
Email Address of Parent/Guardian
example@example.com
Name of Troop Volunteer Completing Form

First NameLast Name
Email of Troop Volunteer Completing Form
example@example.com
Phone Number of Troop Volunteer Completing Form

Area CodePhone Number
Please explain attempts made to receive funds from Parent/Guardian. (In person, phone, email, etc)
Total amount parent/guardian owes troop
Please upload documentation verifying collection attempts. If you cannot upload, please email directly to troopbanking@gshpa.org and include your Troop # and Troop Banking Parent Debt Form in the subject line.

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Please upload the signed Family Agreement Form signed by parent/caregiver showing the agree to payment in full. If you cannot attach, please email directly to troopbanking@gshpa.org and include your Troop # and Troop Banking Parent Debt Form in the subject line.

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Use your camera to take a photo of the signed Family Agreement Form.
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