How to enable javascript on your browser


Parent/Guardian Permission and Responsibility Form


This form must be completed for your Girl Scout to participate in the 2016-2017 GSNETX Cookie Program.
Questions with a red asterisk must be completed in order to complete the nomination.


Please enter the package Grand Total from your Girl Scout’s Goal Worksheet (page 10 of the Family Guide) in the space below. Remember, you do not need to order by flavor! This is her primary/initial cookie order that she will be begin selling to friends, family, neighbors and at family booth sales starting January 13, 2017.
You’ll also help her earn her first Cookie Program patch pin by ordering and picking up at least 100 packages. She will even be entered into a contest to visit NYC. Although this form can be completed at any time during the 2016-2017 Cookie Program, to qualify for the patch, it must be completed by the due date set by your Troop Volunteer.

  (Numbers only)

For your convenience, a copy of this form information will be sent to your Troop Cookie Manager and/or Troop Leader by entering their email address below. If you do not know your their email address, you must print and give them a completed copy of this form.

Please enter your initials in the boxes below, confirming you agree to all responsibilities.
All boxes must be initialed — 4 letters max.

  • My Girl Scout has adult guidance at all times.
  • No cookie orders are taken prior to the official starting date of January 13, 2017.
  • Payment for cookies is not collected prior to delivery to customers; and cookies are not paid for on the internet.

The Cookie Club is an online tool available to girls! This password protected website features tips like how to set and track goals. The Club allows customers to submit their requests for cookies, and your daughter’s account will save their contact information. All you have to do is continue with in-person delivery and collect payment! Please enter your initials in the boxes below to agree to all responsibilities.
*To use Cookie Club, a Girl Scout’s parent/guardian must complete this permission form.

ALL communication, including invitations to top seller events, will be sent to the email address in the GSNETX membership database.
Please enter your current information below & to ensure your Girl Scout’s information is correct with GSNETX, go to & click on My GS (in the menu line—top right corner) to login to update your personal information.


OPTIONAL:  For members of Cadette, Senior and Ambassador Troops taking the cash option, please select below:

You must enter your name acknowledging that you have read, understand and agree to all terms and conditions outlined herein.


Ignore if visible: