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Girl Scout Emergency Contact Form

Use our Complete Girl Scout Emergency Contact Form.

3 minutes to complete

Eligibility

To be eligible to fill out the Girl Scout Emergency Contact Form, you must be a girl Scout member.

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Questions for Girl Scout Emergency Contact Form

Questions

1.

Girl's name

The answer should be a text input.
2.

Date of birth

The answer should be a date input.
3.

Address

The answer should be a text input.
4.

City

The answer should be a text input.
5.

State/Province

The answer should be a text input.
6.

Postal/Zipcode

The answer should be a number input.
7.

Home phone number

The answer should be a phone number.
8.

Cell phone number

The answer should be a phone number.
9.

Is she allergic to any medications?

The answer should be a single choice:
  1. Yes
  2. No
10.

If YES,Please list:

The answer should be a text input.
11.

Is she allergic to insect stings?

The answer should be a single choice:
  1. Yes
  2. No
12.

If YES,Please list:

The answer should be a text input.
13.

Does she have any other allergies

The answer should be a single choice:
  1. Yes
  2. No
14.

If YES,Please list:

The answer should be a text input.
15.

Are there any other medical conditions we need to be aware of?

The answer should be a single choice:
  1. Yes
  2. No
16.

If YES,Please list:

The answer should be a text input.
17.

Emergency Contact person name

The answer should be a text input.
18.

Relationship

The answer should be a text input.
19.

Cell phone number

The answer should be a phone number.
20.

Signature

The answer should be a signature.
21.

Date

The answer should be a date input.

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Here are some FAQs and additional information
on Girl Scout Emergency Contact Form

What is the emergency contact form?

The emergency contact form is a document that lists the emergency contacts for a Girl Scout. This form is used to provide information to first responders in the event of an emergency. The form should be completed by the parent or guardian of the Girl Scout and kept in a safe place, such as a backpack or purse.

What information should be included on the emergency contact form?

The emergency contact form should include the name, address, and phone number of the parent or guardian, as well as the name and phone number of an emergency contact. Additionally, the form should list any medical conditions or allergies that the Girl Scout has.

What should I do with the emergency contact form?

The emergency contact form should be kept in a safe place, such as a backpack or purse. Additionally, the form should be given to any adult who is responsible for the Girl Scout, such as a troop leader or camp counselor.

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