• Health History and Annual Permission form, F-57, for each girl.
• Girl Health and Permission Form for Travel, F-59, for trips that exceed two nights or international travel.
• Adult Activity Waiver, VP-84, for each participating adult.
• Copies of passports for all participating girls and adults (international travel only).
• Permission to Travel Form for Minors (international travel only for all girls under the age of 18).
What type of insurance needs to be purchased for a troop trip?
Basic Accident Activity Insurance (Plan 1) is provided as part of the Girl Scouts of the USA (GSUSA) membership registration fee and
covers every registered girl and adult member when they are participating in an approved Girl Scout activity of any length of time.
Troops do not need to do anything to put this coverage in place. This coverage is automatic for those with a valid membership. Plan
1 insurance is secondary/supplemental to any insurance a member otherwise has in place at the time of the trip. However, in the
event the member does not have any personal insurance in place at the time of the trip, Plan 1 insurance becomes primary
insurance for the person at issue.
The Basic Plan 1 insurance does not cover medical expenses for “sickness” or “illness” on a trip that is un-related to the trip. For
example, if a child or adult taking a trip develops appendicitis on the trip, that “illness” is not covered by the Basic Plan 1 insurance.
A troop can purchase Plan 3P Accident Plus Sickness Insurance for a trip. This will cover any sickness or illness that occurs on a trip,
and Plan 3P insurance is “primary” insurance. If your troop is interested in purchasing Plan 3P insurance, please indicate this on your
troop trip application form.
Also, when taking an international trip, it is strongly encouraged that you purchase additional Plan 3PI insurance for the added level
of protection and benefit it provides.
See the Girl Scouts of Eastern Missouri web site for more information about Insurance.
• Plan 3P (primary coverage):
• Plan 3PI (international):
What Certificate(s) of Insurance are needed for a troop trip?
A Certificate of Insurance (COI) is a form that identifies how much insurance coverage the holder possesses. GSEM is obligated to
ensure, to a reasonable extent, that external entities, such as vendors, program providers or collaborators, organizations,
companies, sites or facilities used by our members are safe. One measure of safety is evidence of adequate insurance coverage.
• When planning a troop trip, obtain a COI from all external entities. COIs may be required for certain activities, modes of
transportation, accommodations, etc., to verify that they meet GSEM’s insurance standards (a minimum total per
occurrence limit of $1,000,000 in primary commercial general liability, with higher limits for certain external entities,
such as commercial bus transportation and watercraft)
• COIs must be issued with GSEM listed as a Certificate Holder. For high-risk activities, including but not limited to high
adventure (such as challenge courses, rock climbing, zip-lining, etc.), hayrides, food- related and transportation, GSEM
must also be named as an Additional Insured.
• If you need assistance obtaining a COI for a troop trip or have questions about whether a COI is needed for a trip, contact
the Director of Risk Management. Further information about COIs can be found on GSEM’s Insurance page.
When transporting girls:
• Review and abide by Transporting Girls in Standard Safety Guidelines and the Travel/Trips section of Safety Activity
Checkpoints.
• The use of Uber, Lyft, Curb and other similar ridesharing companies is not permitted, because the safety, credibility and
insurance of the drivers is far more difficult to qualify than traditional or well- known charter and rental companies, and
complete auto insurance coverage is often unavailable for a majority of rideshare drivers.
• If you are traveling more than 5 hours or 300 miles in one day, all drivers must complete a Check Driving Record
Request form. Driving records will be checked no sooner than 3 months prior to departure.