2024 Fall Product Program Girl Scout Permission Slip

Permission Slip & Caregiver Responsibility Form

2024 Fall Product Program
By checking each box below, I agree that:*
Girl Scout Name*

First NameLast Name
Troop Number*
Caregiver Name*

First NameLast Name
Caregiver Email*
youremail@email.com
Caregiver Phone Number*
Please enter a valid phone number.
Caregiver Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your Troop Fall Product Coordinator (TFPC) is the volunteer in your troop who is coordinating the Fall Product Program for your Girl Scout. Entering their email address below will send them a copy of your answers on this form, which tells them that you are ready to participate in the Fall Product Program and gives them the information they need to submit your Girl Scout's reward selections when the program ends on October 20.

Your troop leadership volunteers can help you if you do not have your TFPC's email address.
Troop Fall Product Coordinator Email*
example@example.com
By signing this document, I understand and accept all terms outlined above and acknowledge my financial responsibility and personal liability for all products and money associated with my Girl Scout’s participation in the 2024 Girl Scouts of Ohio’s Heartland Fall Product Program.*

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Reward Opt Out
*NEW* Girl Scouts in all program levels can unanimously decide to opt out of individual rewards in exchange for an additional 4% per item in troop proceeds for a total of 20% proceeds.
- The decision to opt out must be unanimous for all participating Girl Scouts.
- Girl Scouts in troops that opt out are still eligible to earn patches and attend the Stellar Seller Celebration.
- Troops that opt out are still eligible for the Troop Rewards.
I have discussed this opportunity with my Girl Scout and we understand that this decision must be unanimous for all participating Girl Scouts in her troop. She votes to:*

Receive individual rewards and NOT earn an additional 4% per item in troop proceeds.OPT OUT of individual rewards in exchange for earning an additional 4% per item in troop proceeds.

Contest Item Pick Up

Girl Scouts have a chance to earn exclusive rewards for starting their 2024 Fall Product Program strong! Learn more at https://www.facebook.com/GSOHProductProgram.
If my Girl Scout is a contest winner, we would like to pick up her reward from:*

Chillicothe Office - 1130 Western Ave., Chillicothe, OH 45601Columbus Office - 1700 Watermark Dr., Columbus, OH 43215Camp Molly Lauman - 9130 Big Bear Creek Rd., Lucasville, OH 45648 (Limited hours)Mansfield Office - 24 W. Third St, Suite 110, Mansfield, OH 44902Marion Office - 1713 Marion-Mt.Gilead Rd, Suite 208, Marion, OH 43302Zanesville Office - 3230 Bowers Ln, Zanesville, OH 43701
Should be Empty:

Individual Reward Choices