Disbanded Troop Form

A disbanded troop is a troop that is no longer meeting and not registered for the new membership year, as of October 1. If you need to disband your troop, please complete this form. Please review the Volunteer Essentials document related to use of disbanded troop funds prior to submitting the form.

Troop Info

Service Unit Name and Number: *

Troop Number: *

Number of Girls in Troop: *

Program Level (Select all that apply): *

Troop Leader Name: *

Troop Leader Phone #: *

Troop Treasurer Name: *

Troop Treasurer Phone #: *

Name of Person Submitting Report: *

Reason for Disbanding (Select all that apply): *

If checked other, please indicate reason and/or any additional comments: *

Troop Financial Info

Have all of the troop's funds been spent? *

Yes

No

How will the remaining troop funds be spent? *

Spend on girl activities by 9/30/2023

Donate to GSNorCal council

Other

How will troop funds be spent? *

How will you donate to GSNorCal? *

Mail a check to GSNorCal

Have GSNorCal close your account and donate the funds in your troop's name

Thank you for investing in Girl Scouts of Northern California - together, we can make a difference in the lives of thousands of girls!

Please mail a check or money order payable to GSNorCal: GSNorCal 1650 Harbor Bay Pkwy, Suite 100, Alameda, CA 94502. Attn: Membership Experience.

Has the troop bank account been closed? *

Yes

No

Approximate date the troop bank account will be closed? * +

Has the troop checkbook, health history forms, debit cards, bank statements, and troop supplies been shredded? *

Yes

No

Approximate date banking and troop supplies will be turned in? * +

Troop finance documents given to: *

Has your Troop Finance Report been submitted? *

Yes

No

Girl Placement

Have any girls in your troop already been placed in another troop? *

Yes

No

If yes, list each girls name and the troop placed in

Girl Names: 🛈

+-

Troop Number (placed in): 🛈

+-

Do any girls need to be placed in another troop? *

Yes

No

If yes, list each girls name

Girl Names: 🛈

+-

Do any girls want to become individual Girl Scouts? *

Yes

No

If yes, list each girls name

Girl Names: 🛈

+-

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 April 4, 2022

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

Leader chose to leave	Leader not supported
Girls lost interest	Graduating seniors
Dissatisfied with Girl Scout program and/or process	Other