Girl Scout Council of the Mid-South - Intent To Travel Notification

Girl Scout Council of the Mid-South


	Intent To Travel Notification

Instructions:

Complete the following Intent to Travel Notification form for activities lasting longer than two nights or trips farther than 150 miles.
Submit completed form to the council at least six weeks before anticipated travel. Approval will be contingent on satisfactory planning.
You will receive this form back by mail with a notification of its approval status and with a Traveling Troop/Camping Approval Request Form.
Please note that this is only a preliminary approval. The Traveling Troop/Camping Approval Request Form is also required for final approval.

GIRL SCOUT TROOP/GROUP TRAVEL INFORMATION

Fields marked with an asterisk are required.*
Troop/Group #:*
Service Unit:*
Troop/Group Age Level:*	D Br Jr Teen Girl Scout 11-17
Leader/Advisor/Trip Coordinator:
First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
Home Phone #:*
Work Phone #:
Email:
Date of Travel:*	From To
Destination:*
Why is your troop considering this destination?
What is the purpose of this proposed trip?
Mode of Transportation:	(Drivers should be 21 or older and have proof of insurance.)
Approximate number of girls:
Approximate number of adults:
Girl Scout troop/group trips should be based on age appropriate, progressive activities. List in detail activities that support progression toward this activity:
Is the distance, length of trip, and planning required suitable for your age level group?
I understand this form is only a statement of intent and additional approval is needed for trips lasting longer than two nights and/or that are farther than 150 miles from regular meeting place. As specified in Safety-Wise for the types of activities we will engage in, I understand that our troop will need to secure adults qualified/certified in the following areas:

You may submit form electronically by clicking submit or print and deliver to the
Girl Scout Council of the Mid-South
Mail: PO Box 240246, Memphis, TN 38124-0246
Deliver: 2715 Kirby Parkway, Suite 1
Fax: (901) 797-2183