Juliette Credit Request
Complete this request for each activity you wish to use program credit towards. Credit may be used for council events, service unit events or other Girl Scout council events.
A new form must be submitted every time a credit use is being applied to an activity. For example, payments on Destinations, along with new invoice.
Girl First Name
Girl Last Name
Service Unit Group Number
831 - Frontier
834 - Leaping Lizards
835 - Crawling Cactus
838 - Sprinting Chipmunks
839 - Silver Stars
840 - Silver Sagebrush
841 - Tule Springs
842 - Northern Stars
843 - Phoenix Rising
844 - Desert Cottontails
845 - Desert Rose
846 - Hummingbirds
Program Credit Request Information
Please fill out the information below detailing the activity information for credit use. Please allow 2-3 weeks to process credit use request.
If you are submitting a request to use the credit towards another council event or Destination, you must attach the invoice that states your Girl Scout information and matches the activity information.
What are you requesting Program Credits for?
The Event/Activity/Program Name, Destination Name, Chosen Camp Session, or Membership Renewal
Please upload any invoices or supporting documents needed here.
Date of event
If you are using credits to renew your membership, please enter today's date
Type of Event/Activity
GSSNV Council event
Service Unit event
Other Girl Scout Council event
Any additional details or comments regarding the request that you'd like us to be aware of or that may be helpful with registration for certain activities such as shirt size, dietary restrictions, etc.
Credit Request Use Authorization
The Girl Scouts listed above agreed to use earned credits towards the event recorded. The Girl Scout guardian/mentor agreed to the above amount of credits to be deducted from her current credit total. By providing the information below, I agree to the use of program credits.
Guardian/Mentor First Name
Guardian/Mentor Last Name
Send me a copy of my responses
Your submission is being processed. Please do not close this browser window until complete.