High Risk Activity Form
This form should be used when troops, groups, or individual Girl Scouts are participating in a High Risk Activity as listed in Safety Activity Checkpoints.
Please follow all safety guidelines as listed in Safety Activity Checkpoints, Volunteer Essentials and by the host of the activity.
This form should be submitted at least 4 weeks prior to the activity.
First Name of Adult Contact
Last Name of Adult Contact
Troop or Service Unit Number
What Is The High Risk Activity?
Name of company or agency conducting or sponsoring the activity
Date of Activity
Levels Of Girl Scouts Participating In Activity
Have Safety Activity Checkpoints Been Reviewed?
Have SAC Been Reviewed With Girls And Parents?
Send me a copy of my responses
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