Council Approval Request for High Adventure Activities & Experiences

Activity Details

Review Safety Activity Checkpoints (SAC) for all activities that will take place at the event. Provide the name of the person with required certifications or trainings.
First Aid/CPR - (Required for all events.)

First NameLast Name
Outdoor Leadership Training - (Required for events with outdoor cooking, campfire, and/or cabin or tent camping.)

First NameLast Name
Lifeguard - (Required for events with swimming. May be required for other water activities. Consult Safety Activity Checkpoints).

First NameLast Name
Small Craft Safety - (Required for boating activities. A lifeguard may also be required, depending on the venue.).

First NameLast Name
Archery - (Required for archery or slingshots).

First NameLast Name
If there are any other trainings or certifications required by SAC for activities at the event list the certification and name of person below.
Please upload certification documentation.

Cancelof
Emergency Contact (someone who is also attending the event and could be contacted in case of emergency if Coordinator cannot be reached):

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email
example@example.com
Please list any additional event volunteers who have not yet been named on this application. If the list of event volunteers changes after the application, submit updates to info@gswcf.org one week prior to the event so that membership, background check, and certifications can be confirmed for each volunteer.

Event Coordinator Statement of Compliance

By completing this section, you acknowledge that you have reviewed and will comply with all applicable Girl Scout Safety Activity Checkpoints for your event.
Check all boxes to confirm agreement and sign below.
Vendor Insurance, Liability Waivers, or Certifications.

Please upload all required documentation for your event. Depending on your activity, this may include certificates of insurance, vendor certifications or licenses, permits, Safety Activity Checkpoint documentation, site maps, waivers, or any other documents needed to support your event request. Uploading all required documents at the time of submission will help prevent delays in the review and approval process.
Cancelof
Event Coordinator Signature
Should be Empty:

Council Approval Request for High Adventure Activities & Experiences

Contact Information

Event Details

Participant Details

Activity Details

Event Coordinator Statement of Compliance