PARENT INTEREST SURVEY

The Girl Scout troop experience is more than leaders and girls. Parents and other adults work with the leader
to ensure that girls have invaluable experiences. The time and effort you expend on behalf of the troop is an
investment in girls. You will make a lifetime of memories and share in the wonder of helping girls grow into
young women

Girls Name: Girls School: __________________________________________

Primary Parent Name: ___________________________ Phone Number: _______________________________________

Primary Parent Email: __________________________________ Add You to Facebook Troop Group: YES NO

Secondary Parent Name: ________________________ Phone Number: _______________________________________

Secondary Parent Email: ________________________________ (include on troop email/text list) YES NO

Please indicate Language for Parents if not English: (To send messages/Forms): _________________________________

Address:

City: State: Zip:

Alternate Emergency contact: Name Phone # Relationship

Any Food Allergies or Special Considerations?_____________________________________________________________

List Anyone Approved to Drop Off or Pick Up your Daughter:

Please list any siblings and indicate if they are a Girl Scout/Cub Scout who may want to help.

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Please indicate how you can share in the success of Troop #70166 by checking all that apply:

☐ Manage the annual cookie sale for our troop ☐ I or someone I know possess a special skill that I can demonstrate /
☐ Cookie Booth chaperone – coordinates & supervises cookies booths teach (Indicate which and relation):
☐ Sewing ____________ ☐ Cooking _______________
☐ Manage and organize Fall Product sales
☐ Painting ____________ ☐ Baking ________________
☐ Troop treasurer / Book keeper – oversee the troop bank account
☐ Firefighting __________ ☐ Engineering ____________
☐ I am CPR Certified
☐ EMT / EMS __________ ☐ Other Medical __________
☐ I am First Aid Certified
☐ Police ______________ ☐ Other _________________
☐ Coordinate a Field Trip to ____________________________
☐ Hiking / Camping: _______________________________________
☐ I am able to make copies or printouts when needed (color or b/w)
☐ Other: _________________________________________________
☐ Coordinate snacks
☐ I speak a 2nd language: ________________________________
☐ Activity / Field Trip Chaperone

Any other special skills that you or your daughter would like to share with the troop?

Any interesting places that you know or to visit?

 This page can be turned in anonymously if preferred

Meeting nights:
☐ Thursday is perfect! ☐ Thursday does NOT work but these nights would work:
☐ Thursday is ok but these nights are better: _____________ __________________________

Meeting frequency:
☐ Two meetings every month ☐ Other suggestion: __________________________
☐ Every other week (2-3 meetings per month)

Additional Activities:
☐ Two per month ☐ One per month ☐ Meetings only.
Best days to plan additional activities: ☐ Sun ☐ Mon ☐ Tues ☐ Wed ☐ Thur ☐ Fri ☐ Sat

Summer Activities:
☐ One meeting / activity every month ☐ I would prefer not to meet during the summer.
☐ 1 or 2 activities during the summer Indicate months: __________________________

Communication Options: Mark each option that you use. CIRCLE preferred option
☐ Group text message ☐ REMIND App
☐ Facebook Group ☐ BAND App

I LOVED this about GS this year:

I DID NOT LIKE this about GS this year:

Other comments / feedback / suggestions:

Thank You!