Girl Scouts of Gulfcoast Florida, Inc.
Girl Scout Juniors, Cadettes, Seniors, and Ambassadors can bank (save) Cookie Dough for approved Girl Scout activities. Each girl must submit this form to the council headquarters to initiate the disbursement of funds, or to request the banking of cookie dough.
Cookie Dough requests for troop travel (including service unit events) must be submitted by the troop via this form: https://bit.ly/2P3ti2f
Parent/Caregiver Phone Number
Email that was used when registering
Amount of Cookie Dough Requested (minimum $10)
Cookie Dough Card Number (if applicable)
Funds requested for
Girl Scout Membership Renewal (Must have a minimum of $25 in Cookie Dough to request membership renewal.)
Council sponsored program
Girl Scout Bronze, Silver, or Gold Award expenses
GSUSA Lifetime Membership
Attach copies of all receipts
Destinations: Location and dates of travel
Camp: Name of session and date(s). When attending a camp at another council other than GSGCF, please provide name of council/address/city/zip code in the box below in order for payment to be disbursed.
Council or service unit sponsored program: Name of program and dates
Amount of Cookie Dough to be banked
Girl's electronic signature: please fill in your full name
Parent/Caregiver's electronic signature: please fill in your full name
Please input a 5 digit code known only to you to affirm that all the above statements are true and this is your electronic signature. Make sure you keep this personal identification number for future correspondence.
Must be between
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