Facility Use Check Out Form

Purpose and Use: This form is intended to ensure that our offices are being well taken care of during and after use and to notify GSNorCal staff in a timely manner if there are any problems or issues that need to be addressed. Failure to complete this after every meeting could have the troop removed from using the building.

Facilities Used (May select more than one space): *

Please report any problems or list any broken items here:

Failure to complete this after every meeting could have the troop removed from using the building.

Electronic Signature

Electronic Signature: By typing my name on this form, I am entering my "electronic signature" (as defined in The California Uniform Electronic Transactions Act 1633.1 - 1633.17) and certifying that I have read, fully understand and accept all terms of this agreement.
Please type your full name here: *

Published February 16, 2021

* Please Note: Once you submit this form, you'll have the option to print the form contents on the following page.

Girl Scouting builds girls of courage, confidence and character that make the world a better place. 2014 Girl Scouts of Northern California