Girl Scouts in the Heart of Pennsylvania

Building girls of courage, confidence and character in central and northeastern PA

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Frequently Used Forms


The following forms and documents are available for downloading. The PDF files require a reader program for viewing. You can download the free Adobe Reader from Adobe's download site by clicking on the icon. The editable Word documents require Microsoft Word 97 or later to fill out using your computer. The e-forms must be filled out electronically and submitted online.

Any questions, please call 800.692.7816.


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Membership

  • 2013 - 2014 Membership Year: October 1, 2013 - September 30, 2014
    • 2013 - 2014 Adult Membership Form | English | Spanish
    • 2013 - 2014 Girl Membership Form | English | Spanish
    • 2013 - 2014 Membership Dues Summary | English | Spanish
  • 2012 - 2013 Membership Year: October 1, 2012 - September 30, 2013
    • 2012 - 2013 Adult Membership Form | English | Spanish
    • 2012 - 2013 Girl Membership Form | English | Spanish
    • 2012 - 2013 Membership Dues Summary | English

Awards and Achievements

  • GSHPA Scholarship Application | Editable Word Doc
  • President's Volunteer Service Award Form | PDF | Editable Word Doc
Girl Scout Go Gold Award
  • Go Gold Award Guidelines | English | Spanish
  • Go Gold Award Project Proposal | PDF
  • Go Gold Award Final Report | PDF
  • Go Gold Award Adult Guide | English | Spanish
  • Go Gold Award Lifecycle Chart | PDF 
  • Go Gold Award Reviewer Volunteer Position | Description | Application
Girl Scout Silver Award
  • Girl Scout Silver Award Booklet | PDF
  • Silver Award Final Report | PDF
Girl Scout Bronze Award
  • Girl Scout Bronze Award Booklet | PDF
  • Bronze Award Final Report | PDF

NOTE: Beginning January 1, 2013 all Gold Award Forms must be typed. No handwritten forms will be accepted.


Camp/Site Rentals

2013 Summer Camp
  • Adventure Bound | English | Spanish
  • Adventure Course Disclosure and Release Form | PDF
  • Campership Application (Financial Assistance) | English | Spanish
  • Counselor-in-Training (CIT) Program Registration | PDF
  • Counselor-in-Training (CIT I) Program Application | PDF
  • Family Camping Registration | English | Spanish
  • Financial Assistance Request for Day Camp/Troop Adventure Camp | English | Spanish
  • Sleep Away Camp Health History Form | PDF
  • Sleep Away Camp Registration | English | Spanish
  • Troop Adventure Camp (TAC) Registration | PDF
Site Rentals
  • Campsite Report | PDF | Editable Word Doc
  • Council Site Reservation (GSHPA Members) | PDF
  • Council Site Reservation (Outside Groups) | PDF
  • Usage Fees for Equipment and Facilities | PDF

Council Store

  • Council Store Mail Order Form | PDF

Financial/Record Keeping

  • ACH Authorization Form | PDF
  • Disbanded Troop/Group Funds Form | PDF
  • Financial Assistance Request for Adults/Girls | English | Spanish | Editable Word Docx NEW for 2012-2013!
  • 2012-2013 Financial Assistance Request for National Membership Dues | PDF | Editable Word Doc
  • 2013-2014 Financial Assistance Request for National Membership Dues | PDF | Editable Word Doc NEW for 2013-2014!
  • Request for Troop/Group Money Earning Project | PDF | Editable Word Doc
  • Tax Exemption Information | PDF
  • Tax Exemption Form | Contact your Membership Associate
  • Troop/Group Detailed Cash Record Worksheet | PDF | Editable Word Doc
  • Troop/Group Finance Report | PDF | MS Excel
    • Instructions for Troop/Group Finance Report
  • Troop/Service Unit/Group Banking Information Form | PDF

Health Related

  • Adult Health History Form | PDF | Editable Word Doc
  • Girl Health History Form | English | Spanish | Editable Word Doc
  • Medical Information Release Form | PDF
  • Resident Camp Health History Exam | PDF

Permission

  • Parent/Guardian General Permission Form | English | Spanish | Editable Word Doc
  • Parent/Guardian Permission for Activities Form | English | Spanish | Editable Word Doc

Product Sales


Fall Product Program

The 2012 Fall Product Program starts September 10!

  • 2012 Fall Product Rally Order Form | e-form
  • ACH Authorization Form (Credit/Debit Authorization) | PDF
  • Incentive Kit Rental Form | eform
  • Parent Permission Slip | English | Spanish
  • Service Unit Fall Product Manager Job Description | PDF
  • Share Receipt Thank You | PDF
  • Troop Fall Product Manager Envelope | PDF
  • Troop Fall Product Manager Job Description | PDF
  • Universal Balance Owed Report | PDF
  • Universal Manager's Agreement Form | PDF

Cookie Program

   The 2013 Cookie Program starts January 2!
  • ACH Authorization Form (Credit/Debit Authorization) | PDF
  • Booth Approver Agreement Form | PDF
  • Certificate of Insurance | e-form
  • Cookie Costume Rental | e-form
  • Cookie Reward Kit Rental Form | e-form
  • Cookie Rally Registration and Order Form | e-form
  • Cupboard Volunteer Agreement | PDF
  • Goal Getter Order Card | PDF
  • Participation Permission | English | Spanish
  • Project Cookie Jar Receipt | PDF
  • Universal Balanced Owed Report | PDF
  • Universal Manager's Agreement | PDF

Program/Training

  • Grab n' Go Reservation Form | PDF | Editable Word Doc
  • Program Registration | PDF | Editable Word Doc

Service Units

  • 100th Anniversary Mini Grant | PDF
  • 100th Anniversary Mini Grant Final Report | PDF | Editable Word Doc
  • Budget Forecast | PDF | Editable Word Doc
  • Forever Green Mini Grant | PDF
  • Girl Membership by Service Unit as of 9/30/2011 | PDF
  • Report of Service Unit Council Delegate Election | PDF | Editable Word Docx
  • Service Unit Delegate Election Form | Form
  • Troop/Group Finance Report | PDF | Editable Word Doc

Trips/Travel

NOTE: A troop roster MUST accompany every trip form!

  • Additional Insurance Coverage for Travel | PDF | Editable Word Docx
  • Camp Site Reservation (GSHPA Members) | PDF
  • Camp Site Reservation (Outside Groups) | PDF
  • Emergency Card | PDF
  • Foxfire Live-in Request Form | PDF
  • Incident Report Form | PDF
  • Troop/Group Travel Roster | PDF | Editable Word Doc
  • Troop/Group Trip Application | PDF

Troops/Leaders (Miscellaneous)

  • Certificate of Insurance | e-form | Guidelines for when COI is needed | PDF
  • Girl Scout - GSHPA Membership Card | PDF | Multiple on a page
  • ID Pin Order Form | PDF | Pin Types Available
  • Troop Attendance Record | PDF
  • Troop Dues Record | PDF

Volunteer Application Forms

  • Governance Committee Referral Form | PDF | Editable Word Docx
  • Volunteer Application | English | Spanish
  • Volunteer Disclosure and Authorization | PDF

Volunteer Recognition Awards

  • Application for GSUSA President's Award | Editable Word Docx
  • Adult Endorsement Form: Board Approved Volunteer Recognition | Editable Word Docx
  • Adult Nomination Form: Board Approved Volunteer Recognition | Editable Word Docx
  • Service Unit Summary and Receipt for Completed Nominations with Endorsements | Editable Word Docx
  • Volunteer Recognitions Handbook | PDF


© 2009, GSHPA | 350 Hale Avenue | Harrisburg, PA 17104 | Ph: 800.692.7816 or 717.233.1656 | Fax: 717.234.5097
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