EmailMe Form - Troop Cookie Buyout Participation

Troop Cookie Coordinator Name (TCC): *

First Last

TCC Email: *

TCC Cell Phone: *

### - ### - ####

TCC Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Troop Number: *

Troop Level: *

Service Unit: *

Upload Troop Bio & Pitch:

Help girls write a short paragraph about their troop and why the Girl Scout Cookie Program matters to them. Consider including how your troop plans to use their proceeds, and be sure to include a strong call to action.

Upload Troop Photo or Artwork:

Girls can submit a troop photo or girl-created artwork to showcase their troop. Photos should show Girl Scouts in official uniform (white shirt, khaki bottoms, and vest/sash/tunic, scarf, and Girl Scout pins) who are demonstrating Girl Scout Cookie Program guidance for behavior & safety.

Please check the indicated box to acknowledge that you have been fully informed of your consent, waiver of liability, and release before entering the event.

I certify a Girl Health History and Annual Permission form with Permission to use Photographs section initialed or a Photo Release Form for Minors for each girl in photo is on file with the Troop.

If selected, the troop agrees to: create a thank you poster; take a photo with girl(s), poster & cookies; post photo on social media; pick-up cookies at Cupboard and deliver cookies along with thank you poster to customer within 5-7 business days.

I own the rights to the attached photo and I agree for the photo provided to be used for media/publicity purposes

By providing your agreement above, you release GSOC, its officers and employees, and each and all persons involved from any liability connected with the taking, recording, digitizing, or publication and use of interviews, photographs, computer images, video and/or sound recordings provided.

By providing your agreement above, you waive all rights you may have to any claims for payment or royalties in connection with any use, exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose, irrespective of whether a fee for admission or sponsorship is charged. You also waive any right to inspect or approve any photo, video, or audio recording taken by GSOC or the person or entity designated to do so by GSOC.