Fall Product Program Caregiver Permission & Financial Responsibility Form As a caregiver of a registered Girl Scout participating in the Fall Product Program, I acknowledge and/or agree with the following: I will adhere to the program dates listed in the Family Guide and will follow all safety guidelines. I will provide my Girl with supervision and guidance throughout the program and assist her in making prompt delivery of product to her customers. I will ensure that payment is not collected until product is delivered. I will by all deadlines and guidelines set forth by the troop leader/troop fall product coordinator as well as those in the Family Guide. I agree to be responsible for all product received and all money collected. I understand that product may not be returned and that I am financially responsible for all product received on behalf of my Girl Scout. I will always get a signed receipt for product picked up from the troop leader and/or troop fall product coordinator. I will always get a signed receipt for all money turned into the troop leader and/or troop fall product coordinator. Note: This is your proof of payment should there be a dispute. I will not hold large amounts of money. If lost or stolen, I understand I am financially responsible for replacing the funds. I understand that should I write a check, I agree that my account will be debited electronically for the face amount, return check fee and return deposit item fee if it is returned unpaid. I acknowledge that I am aware that I will receive only one letter from Council for any unresolved account. If my account is not settled after 10 working days, it will be turned over to collections or law enforcement. All fees charged in conjunction with this process will be my responsibility including, but not limited to, attorney fees, court cost and collection fees. My Girl Scout, a member of troop/group , has my permission to participate in the Fall Product program. Caregiver Name (Print): Mailing Address: Cell: Home: Email: Social Security or Driver’s License Number: State: Expiration Date: Signature Date: Please circle your Girl Scout’s t-shirt size to be used in the event a t-shirt is one of the program rewards: YS YM YL AS AM AL AXL A2XL A3XL
Fall Product Program Caregiver Permission & Financial Responsibility Form As a caregiver of a registered Girl Scout participating in the Fall Product Program, I acknowledge and/or agree with the following: I will adhere to the program dates listed in the Family Guide and will follow all safety guidelines. I will provide my Girl with supervision and guidance throughout the program and assist her in making prompt delivery of product to her customers. I will ensure that payment is not collected until product is delivered. I will by all deadlines and guidelines set forth by the troop leader/troop fall product coordinator as well as those in the Family Guide. I agree to be responsible for all product received and all money collected. I understand that product may not be returned and that I am financially responsible for all product received on behalf of my Girl Scout. I will always get a signed receipt for product picked up from the troop leader and/or troop fall product coordinator. I will always get a signed receipt for all money turned into the troop leader and/or troop fall product coordinator. Note: This is your proof of payment should there be a dispute. I will not hold large amounts of money. If lost or stolen, I understand I am financially responsible for replacing the funds. I understand that should I write a check, I agree that my account will be debited electronically for the face amount, return check fee and return deposit item fee if it is returned unpaid. I acknowledge that I am aware that I will receive only one letter from Council for any unresolved account. If my account is not settled after 10 working days, it will be turned over to collections or law enforcement. All fees charged in conjunction with this process will be my responsibility including, but not limited to, attorney fees, court cost and collection fees. My Girl Scout, a member of troop/group , has my permission to participate in the Fall Product program. Caregiver Name (Print): Mailing Address: Cell: Home: Email: Social Security or Driver’s License Number: State: Expiration Date: Signature Date: Please circle your Girl Scout’s t-shirt size to be used in the event a t-shirt is one of the program rewards: YS YM YL AS AM AL AXL A2XL A3XL
Caregiver%20Permission%20&%20Financial%20Responsibility%20Form%20(AF).docx