Pay Your Cookie Bill
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www.gsnetx.org
Little Brownie Bakers
Parent/Guardian Permission and Responsibility Form
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When you complete this form, you are granting permission for your Girl Scout to participate in the Girl Scouts of Northeast Texas (GSNETX) 2021 Cookie Program. You understand and agree to follow all policies and guidelines associated with these programs as listed below and in the program Family Guides.
In order to avoid delays in your Girl Scout’s participation, be sure to enter your Girl Scout’s name and troop number as it is listed in 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.
Parent/Guardian Information
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Parent First Name
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Parent Last Name
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Home Address
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City
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Zip Code
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Email
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Phone
Your Girl Scout's Information
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Girl First Name
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Girl Last Name
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School Name
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Grade Level
Select Grade --
K
1
2
3
4
5
6
7
8
9
10
11
12
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Date of Birth
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Shirt Size
Select Size --
Youth small
Youth medium
Youth large
Adult small
Adult medium
Adult large
Adult XL
Adult 2X
Adult 3X
Adult 4X
Your Girl Scout's Troop Information
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Troop Number
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Service Unit
numbers only
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Troop Leader Email
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TCM Email
Additional Information and Options
Media Release
(Optional)
...
I give GSNETX, Girl Scouts of the USA, and the United Way the rights and permission, without any compensation, to take, use, reuse, publish, and republish photographs, pictures, media, video recordings, interviews, and other images of my Girl Scout, without restriction, and her name in any published matter for publicity, news releases, social media campaigns, and/or for any public relations purposes. I waive any right that I or my Girl Scout may have to inspect or approve any finished product or products or the advertising copy or printed matter that may be used in connection with such photographs, pictures, media, video recordings, interviews, images, or the use to which they may be applied. I hereby release and hold harmless GSNETX, Girl Scouts of the USA, and the United Way from any claim arising from the use of such images.
Rewards Waiver for Additional Cookie Proceeds Only
(6th - 12th Graders ONLY)
more info...
I confirm that my Girl Scout is in 6th – 12th grade (Cadette, Senior or Ambassador) and has voted to accept an additional $0.10 per package of cookies sold in lieu of reward items. Girl Scouts in grades K – 5th grade are not eligible to opt out of rewards for additional proceeds.
Consent to Receive Emails and Texts
(Optional)
more info...
I agree to receive, for myself or on behalf of my Girl Scout, auto-dialed information, marketing text messages or emails, and other transactional service-related messages to the email address(es) and/or phone number(s) listed above, understanding such consent is not required to join Girl Scouts.
Cookie Program Acknowledgement of and Agreement to Terms
Girl Scout Cookie Sale Program
I agree to accept
full financial and personal responsibility
, including on-time payment, for all Girl Scout cookies ordered and money due related to my Girl Scout’s participation in the 2021 Cookie Program. I understand I am liable for the amount not paid and that it could result in being referred to a collection agency and I will be responsible for paying costs and fees associated with all collection efforts.
I understand that my TCM is responsible for giving me a signed receipt for all products I receive and all money I turn in, and that it is my responsibility to keep all copies until May 31, 2021. GSNETX retains the right to request these receipts in the event of discrepancies/conflicts beyond May 31, 2021.
I agree that any cookies remaining unsold in my possession by/for my Girl Scout may not be returned to my Troop/GSNETX. After the program ends, they are my property and I accept financial responsibility for them.
I Will Ensure That:
My Girl Scout's membership remains current and active for 2021: October 1, 2020-September 30, 2021.
No cookie orders may be taken, prior to the official order taking date of December 11, 2020. Any cookie orders taken prior to this date are strictly prohibited. Cookies may be sold through May 31, 2021 at the prices set by GSNETX.
My Girl Scout has adult guidance at all times. We will follow all booth safety and etiquette at approved booth sales and understand that failure to follow the process and etiquette will result in a $25 fine per instance applied to the girl/family and/or troop who violates the policy. This includes not approaching council partners such as Walmart, Kroger, Tom Thumb, etc. that are set up by GSNETX. All council partners will be listed on the My Sales form published at www.gsnetx.org/cookies. My Sales requests can begin on November 7, 2020. Additionally, failure to follow booth sale etiquette and safety guidelines may affect your troop’s approval and sign-up for future booths.
Girl Scout cookies may not be sold by a business, retailer, and/or restaurant without proper booth approval and a Girl Scout must be present at all times.
We will only sell Little Brownie Baker products for the prices set by GSNETX within the GSNETX 32 county boundary lines. The list of counties can be found at
www.gsnetx.org, About, Our Council
. Additionally, I agree that credit card fees will not be passed along to the customer.
Social Media
I agree to abide by the GSNETX social media policy guidelines for the Cookie Program and Digital Cookie as follows:
Only use the first names when signing emails or cookie alerts regarding sales.
I, the undersigned parent and/or legal guardian of the above-mentioned Girl Scout, do hereby acknowledge and agree that I have read, understand and agree to all terms and conditions herein and on this site.
Posts about cookies on sites such as eBay, Craigslist, and/or any other “for sale” sites are strictly prohibited. This includes garage sale sites, Facebook Market Place, etc.
To ensure the best customer experience, when using Digital Cookie, only accept orders that can be delivered within 7-10 days. The only exception to this is Digital Cookie preorders prior to January 15, 2021.
Girl Scout Cookie Program Rewards
My Girl Scout will not receive rewards if her balance for the Girl Scout Cookie program is not paid in full and on time. Girl reward items are ordered only for eligible girls who have paid their balance in full by the end of the program on the date set by GSNETX. Girls and troops may continue to sell cookies until May 31, 2021.
I, the undersigned parent and/or legal guardian of the above-mentioned Girl Scout, do hereby acknowledge and agree that I have read, understand and agree to all terms and conditions herein and on this site.
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Full Name
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