2025 Girl Extravaganza Permission Slip
500+ Club Girl Extravaganza April 18, 2026 or April 25, 2026

Girl Scouts of Orange County
Lisa Nevares
Phone: 949-461-8800

Located at Dave and Busters
Irvine Spectrum
661 Spectrum Center Drive
Irvine, CA 92618

Check in will begin at 8:00 am
Check out will begin 11:30 am

Girl Scouts must have their own transportation to and from this event.

This is a Council reward recognition event for girls only. Parents/guardians and tagalongs may not stay and play.

Attire is casual. Comfortable closed toe shoes, no heelie shoes.

Leader signature: Lisa Nevares
Date 1: 4/18/26
Date 2: 4/25/26

A copy of these plans are on file with Lisa Nevares (Council Representative). 949-461-8847.

  • IMPORTANT: Parents/Guardians retain the portion below until outing is completed.

    PARENT'S/GUARDIANS’S PERMISSION AND EMERGENCY MEDICAL FORM
  • a minor, do hereby request that she be permitted to attend Girl Extravaganza in April or May 2025.

  • In consideration of my daughter being permitted to attend the Event, I (we) hereby release, waive, discharge and covenant not to sue the Girl Scout Council of Orange County, its directors, officers, employees, volunteers and agents (collectively the "Council") from any and all liability to myself or my daughter for any loss or damage, including property damage, personal injury, or death, whether caused by the negligence of the Council or otherwise, resulting from or related to my daughter's participation in the Event, and should the need arise, do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis rendered under the general or special supervision of any member of the medical staff and emergency room staff licensed under the provisions of the Medical Practice Act of the jurisdiction within which the Event is being held or a dentist licensed under the provisions of the Dental Practice Act of the jurisdiction within which the Event is being held and on the staff of any acute general hospital holding a current license to operate a hospital from the State of California Department of Public Health or licensed by the state within which the Event is being held. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power to render care which the aforementioned physician in the exercise of his/her best judgment may deem advisable. It is understood that effort shall be made to contact the undersigned prior to rendering treatment to the patient but that any of the above treatments will not be withheld if the undersigned cannot be reached. I will not hold liable the Girl Scout Council of Orange County, its officers or leaders for medical aid rendered at a hospital or first aid rendered at the event and will reimburse the Girl Scout Council of Orange County for medical or other expenses incurred in the care of my daughter.

    This authorization is given pursuant to Section 6910 of the Family Code of California and remains effective only for the event and date listed above.

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  • Medication must be accompanied by written instructions from the parent or physician and in their original containers.
  • Clear
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