INTENT TO TRAVEL FORM
Please submit an Intent to Travel Form according to the table below based on the trip you would like to attend.
Type of Trip:
3 or More
Nights Trip
1 Week Trip
7 or More
Nights Trip
International
Trip
Cruise
Submission
of Intent to
Travel Form:
6 months prior
8 months prior
1 year prior
2 years prior
2 years prior
TRAVELER or ADULT ADVISOR OF GROUP INFORMATION
Contact Name:
Address:
Street
City
Email Address:
State
Phone Number:
Position in Girl Scouting:
Membership Expiration Date:
Sites/Countries to be Visited:
Date of Departure:
Number of Adults Traveling:
Date of Return:
Number of Girls Traveling:
Age Range:
Signature of Traveler or Adult Leader of Group:
Council Endorsement of Individual Member and/or Group Planning to Travel:
Council Name:
Signature for Council:
Position in Girl Scouting:
Date:
Fax Completed form to 814-734-7701 or Mail completed form to:
Girl Scouts Western PA
C/O Program Manager
5681 Route 6N
Edinboro, PA 16412
145
Zip