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GSP Parents Consent

This document is an application form for Girl Scouts of the Philippines events that collects personal information including name, date of birth, address, troop number, religious affiliation, emergency contact, and parent's consent. It also records the applicant's scouting experience and certifies that requirements for the event have been met.

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jess_gavino
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4K views1 page

GSP Parents Consent

This document is an application form for Girl Scouts of the Philippines events that collects personal information including name, date of birth, address, troop number, religious affiliation, emergency contact, and parent's consent. It also records the applicant's scouting experience and certifies that requirements for the event have been met.

Uploaded by

jess_gavino
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Girl Scouts of the Philippines

SURIGAO DEL NORTE COUNCIL


Surigao City
APPLICATION FORM
(Girl and Adult)
Event: ________________________________________

Date: ________________________________

PERSONAL DATA:
Name:
_____________________________________________________________________________________
LAST
MIDDLE
FIRST
Date of Birth: ___________________

Age: _______ Home Address: ______________________________________

Troop Number: _________

Council: ______________

Religious Affiliation: __________________________

Date of Last Registration: __________________


Number of Years in Scouting: _______________

Camps/Special Events Attended:


Event

Date

_________________________________ __

________________________

_______________________________ ____

________________________

_______________________________ ___ _

________________________

_____________________________

__ __

_______________________

In emergency, notify: ___________________________________

Relationship: __________________

Address: ____________________________________________

Contact Number: ________________

PARENTS CONSENT
This is to certify that I have given full consent for my daughter
_____________________________________ to participate at the ______________________________
__________________________________.
I have considered the benefits that my daughter will derive from her participation in this activity with the
understanding that every precaution is to be taken to ensure her safety.
I shall not hold the Girl Scouts of the Philippines or its representative responsible for any untoward accident that
may happen beyond their control. Her physical fitness is assured in a medical examination.
_______________________
Date

Signed: ________________________________________________
Parent/Guardian

CERTIFICATION & ENDORSEMENT


We hereby certify that the applicant has met all requirements for participation in this event.
_____________________________
Troop Leader
__________________________
Council President

__________________________
Council Executive

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