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Parent/Guardian Permission and Responsibility Form


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This form must be completed for your Girl Scout to participate in the 2018-2019 GSNETX Cookie Program.
In order to avoid delays in your Girl Scout's participation, the information provided including your Girl Scout's First and Last Name and Troop Number must match the information in our Membership System (My GS).
Please confirm prior to completing this form by logging into your My GS account. Need help? Check out this step by step tutorial.
Questions with a red asterisk must be completed in order to complete the application.

Registration Information
Total Cookie Goal for 2018-2019

Please enter your Girl Scout's total cookie goal for the 2018-2019 program.
You'll also help her earn her first Cookie Program patch pin by ordering and picking up at least 100 packages in your initial order. Although this form can be completed at any time during the 2018-2019 Cookie Program, to qualify for the patch, it must be completed by the due date set by your Troop Cookie Manager."
  (Numbers only)
  (Numbers only)
Parent/Guardian Responsibilties

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 11, 2019
  • Payment for cookies is not collected prior to delivery to customers.
  • Complete the Girl Scout Internet Safety Pledge.
  • Only use first names when signing emails or cookie alerts regarding sales.
  • Girl Scouts may only post about her participation in the Cookie Program and Digital Cookie on social media sites where her friends and family—and not the general public—can see her social media page.
  • Posts about cookies for sale or a girl's participation in Digital Cookie on websites such as Twitter, Facebook, eBay, Craigslist, or any other website, where her posts can be viewed by the public are not allowed.
  • We encourage Girl Scouts to write their own messages, within which they share their cookie goal and what their troop plans to do with the funds they earn.
  • Girl Scouts ages 13+ may post on their personal social media sites as long as the posts are private, and not able to be viewed by the public.
  • I understand that my Girl Scout's participation in Digital Cookie may be terminated if these guidelines are not followed.
  • I understand if money is not received on or before the specified deadline, my girl scout will not receive reward items. Girls are at risk to forfeit their rewards, including items, cookie dough, events and trips should they fail to pay on time, in full and/or if the Girl Scout and her family do not adhere to all policies and guidelines published here and in the 2019 Family Guide.

Parent/Guardian Contact and Identification Information

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.
Cash Option

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

Acknowledgement of and Agreement to Terms
I, the undersigned parent and/or legal guardian of the above-mentioned girl (the "Minor"), do hereby acknowledge that I have read, understand, and agree to all terms and conditions outlined herein and on this site.



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