PARENT PERMISSION & FINANCIAL RESPONSIBILITY FORM

2012 Cookie Sale Program

Welcome to the 2012 Cookie Program! Please read, complete, and sign this Permission Form. Keep the yellow copy for yourself and give the white (original) copy to your girls Troop Cookie Manager. REMEMBER, you cannot pick up cookies unless this form is signed and on file with your TCM. The Girl Scout Cookie Program is a hallmark of a girls Girl Scouts experience and an eagerly awaited event by millions of cookie lovers and Girl Scout supporters. It is also important to Girl Scout troops and to Girl Scout councils. For troops, the sale provides funds to support troop activities such as field trips, camping, and service projects. For councils, the sale subsidizes all activities, including providing funds to operate and maintain Girl Scout camps, organize and support Girl Scout troops, provide council-wide programs such as science, outdoor skills, community service opportunities, and other events, and provide financial assistance so all girls have access to the opportunities Girl Scouting has to offer. As a parent/guardian, your role is very important. We ask your help in agreeing to the following: I agree to adhere to the dates of the Cookie Program. January 13 29, 2012: Pre-sale (taking orders but no money will be collected at this time), February 18-28, 2012: Delivery (cookies may be delivered as soon as received), March 2-18, 2012: Direct sales. I agree to sell cookies at $4 per package. This includes all Gift of Caring and/or Operation Cookie Drop cookies. I agree to be responsible for initial cookie orders, all cookie re-orders, and the money. I agree that only the adults who have signed this form will be allowed to sign for and pick up cookies. I agree to get signed receipts for all cookies taken and for all money turned in. I understand that unsold cookies cannot be returned to the troop or council. Once signed for, the cookies are the responsibility of the person signing the cookie receipt. I will make sure my girl is properly supervised by an adult while selling. I will be responsible for turning in all money to the Troop Cookie Manager on a weekly basis with final payments due by March 19, 2012. [Prompt payment enables the council to take advantage of price discounts from the bakery.] I understand that I will be charged a $40 late charge if full payment is not made by March 29, 2012. Debts remaining after this date will be sent to collection. If collection action is needed, I agree to pay reasonable attorney fees and costs of collection. I understand that all checks are to be made payable to Girl Scouts of Western Washington (GSWW). Checks are restricted to no more than $144 each. I agree that collecting money for cookies on a website on the internet is prohibited at all times. I agree that Cookie Camperships and Cookie Dough will be held until full payment is received. I understand that choices of camp sessions may not be available if eligible for a Cookie Campership. (When a girl sells 550 or more boxes of cookies, she becomes eligible for a Cookie Campership. Girls eligible for Cookie Camperships follow the same registration process that all other girls do for registration, and will be assigned camp sessions based on space available. Because of space limitations we are unable to guarantee that she will receive her choices of camp sessions.)

I have reviewed the above information and agree.

My girl, _________________________________________________________, a member of Troop #______________ or Pathway/IRM_____ has my permission to participate in the 2012 Cookie Program. I agree to accept financial responsibility for all the cookies and money she receives ($4 per package). I understand that I may not return cookies to the troop or council. I will see that she sells cookies at $4 per package, sells within Cookie Program dates, adheres to the Girl Scout Promise and Law, and that she has adult guidance at all times. Parent/Guardian Name(s): Signature:___________________________________________________________ Signature:___________________________________________________________ Home Phone: ( ) Cell Phone: ( ___________________________ Date:_______________ Date:_______________ )_____________________________

Address:____________________________________________City_______________________________Zip_____________________ e-mail address:___________________________________________

Original to TCM, Yellow copy to parent