Request for Council Approval of Activity/Event

Request for Council Approval of Activity/Event
In order to fill out this form, please have the following information:
- A description of the activity that you are requesting approval for.
- Know what Safety Activity Checkpoint your activity falls under, and have read the guidelines.
- Have the name and address of the activity/event.
- Who is hosting the event (i.e.troop, service unit, organization, etc.
- Date and length of activity/event.
- Number of girls, registered volunteers, and un-registered volunteers you will have at the event (or your min/max)
- Check to see if your activity/event requires certified instructors.
- If your activity/event requires certified instructors, have copies of their certifications to attach to this request.
- If holding the activity/event at a facility, do they carry liability insurance?
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number *

Area Code Phone Number
Describe the activity that you are requesting Council approval? *
What Safety Activity Checkpoint does the activity fall under?
What is the name and address of the activity/event? *
Who is hosting the activity/event? *
i.e. Troop, Service Unit, Place of Business, or other organization.
What is the date of the activity/event? *
How long is the activity/event? *

If you're a troop, how many of each of the following people will be present at the activity/event

If you're a service unit, what is the minimum and maximum of girls for this activity/event?
If you're a service unit, what is the minimum and maximum of adults for this activity/event?
Does the activity/event require certified instructors according to Safety Activity Checkpoints?

Yes No
If the activity/event requires certified instructors, please attach copies of the certifications.

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If the activity/event is being held at a facility, does this facility have liability insurance?

Yes No
Is there anything else that you would like Council to know?
Should be Empty: