Intent to Travel Application
Extended trips are three nights or more. This does not apply to three day federal holiday weekends. This form MUST be completed and approved PRIOR to initiating any commitments to the trip. Once the trip has been approved, a list of requirements will be emailed to you. Final approval will be given after all criteria have been met.
Trip Coordinator’s Name: Email:
Position: SHAPE \* MERGEFORMAT Leader SHAPE \* MERGEFORMAT Assistant Leader SHAPE \* MERGEFORMAT Troop Committee SHAPE \* MERGEFORMAT Other:
Address:
City: State: Zip:
Phone (Day): (Evening):
Troop/Group No.: Service Unit:
Girl Scout Level(s): No. of Girls: No. of Adults:
Inclusive Dates of Activity: to
Destination(s):
Mode of Transportation (check all that apply):
SHAPE \* MERGEFORMAT Private Vehicle SHAPE \* MERGEFORMAT Bus SHAPE \* MERGEFORMAT Train SHAPE \* MERGEFORMAT Plane SHAPE \* MERGEFORMAT Boat SHAPE \* MERGEFORMAT Other:
Approximate Cost per Person: $
How will expenses be covered? Describe money-earning activities, if applicable:
How will the girls benefit from this activity?
An Intent to Travel Form must be submitted to the Riverdale Service Center, attn: Charisse Taylor :
at least:
( Three months before departure if traveling within the United States ( Six months before departure if traveling internationally
SHAPE \* MERGEFORMAT This form has been reviewed and is APPROVED.
SHAPE \* MERGEFORMAT This form has been reviewed and is NOT APPROVED.
Approval has been denied for the following reason(s):
Travel Committee Task Force:
Council Staff Person: Date:
Rev. 7/2013