Travel Trip Emergency Contact Roster
Must be submitted prior to trip departure. If you already have prepared all the emergency contact information in a separate document, you may upload your file below -OR- complete the information in this form for each girl and adult traveler. Note: This is a long online form, fields for girl information is listed first, adult fields are listed towards the end. If you have more than 15 girls or 4 adults, please submit additional forms. (Scroll to bottom of form to SAVE if you're not ready to SUBMIT)
Troop #
*
Name of Primary Trip Leader/Organizer
*
First Name
Last Name
Email
*
example@example.com
Trip Destination
*
If you already have prepared all the emergency contact information in a separate document, you may upload your file here and scroll to bottom to submit form -OR- complete the information in this form for each girl and adult traveler.
Browse Files
Drag and drop files here
Choose a file
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GIRL TRAVELERS INFORMATION
Girl 1
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 2
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 3
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 4
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 5
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 6
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 7
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 8
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 9
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 10
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 11
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 12
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 13
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 14
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Girl 15
Girl Scout Name
First Name
Last Name
Environmental/Food Allergies
Girl's adult emergency contact (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
ADULT TRAVELERS INFORMATION
Adult 1
Adult's Name
First Name
Last Name
Emergency contact for adult (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Adult 2
Adult's Name
First Name
Last Name
Emergency contact for adult (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Adult 3
Adult's Name
First Name
Last Name
Emergency contact for adult (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Adult 4
Adult's Name
First Name
Last Name
Emergency contact for adult (NOT in attendance).
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Save
SUBMIT TO COUNCIL
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