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Notification of Service Unit/Cluster Event
For Service Unit/Cluster Events more than $15 per Girl

Before the event, the Event Director should complete this form and submit at least four weeks before the event. 


  1. Event Director
  2. Service Unit Please list all service units involved, if more than one.
  3. Phone Number
  4. Email Address
  5. Name of Event
  6. Date of Event
  7. Location of Event
  8. Registration Deadline of Event
  9. Event Fee for Girls If less than $15 per girl, please submit online using the other form.
  10. Event Fee for Adults
  11. Mail Event Registrations to: Please provide the name and address of person handling registrations.
  12. Make Checks Payable to:
  13. Estimated # of Girls Attending
  14. Estimated # of Adults Attending
  15. Estimated # of Non-Girl Scout Youth Attending
  16. Has extra insurance been purchased, if needed? Extra insurance is needed if the event will have non-Girl Scout participants (girls or adults) or is longer than 2 nights
  17. Name of Event First-Aider
  18. Who can attend the event? (Please check all that apply)




  19. Please provide a brief description of the activities planned during the event
  20. Check the box to indicate agreement
  21. Expected Income from Registration Fees from girls
  22. Expected Income from Registration Fees from adults
  23. Expected Income from Registration Fees from program assistants
  24. Expected Income from Registration Fees from Non-Girl Scouts/other youth (see above for example).
  25. Other expected Income Please list the amount of any other income and the source
  26. Total Expected Income for Event Please add all sources of expected income to determine total expected income for the event.
  27. Expected Expenses for Insurance
  28. Expected Expenses for Site Rental If a site rental is charged
  29. Expected Expenses for Program Consultants/Activity Specialists If providing
  30. Expected Expenses for Meals/Snack If providing
  31. Expected Expenses for Postage If needed
  32. Expected Expenses for Admission Fees (i.e. swimming, movies, bowling, etc., if provided)
  33. Expected Expenses for Patches If providing
  34. Expected Expenses for T-Shirts If providing
  35. Expected Expenses for Activity Supplies
  36. Other Expected Expenses Please list any additional expenses and the amount
  37. Total Expected Income for Event Please list the combined total expenses expected for your event.
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