2025 IRM Caregiver Permission and Financial Responsibility Agreement

This document must be completed and signed in order for your Girl Scout to participate in the Fall Product Program.

Your Service Unit is a REQUIRED field on this form. Be sure you have this information readily available.

I agree:

• In the event I am unable to fulfill my duties as Fall Product Coordinator for my Girl Scout, I will immediately notify the Service Unit Fall Product Coordinator, as well as turn over all materials, paperwork and money.
• I will adhere to all deadlines listed in the Family and IRM Guides.
• I understand that I am purchasing all product that I sign for, and as such will pay GSCCC for all product unless I turn in signed receipts showing transfer of products to another adult.
• I will write receipts for all product distributed and money collected and that I will be legally responsible for such money until I deposit it into the council and/or troop account.
• I will safeguard money received and to not use it for my own benefit.
  I understand that NO PRODUCT MAY BE RETURNED TO COUNCIL, THE SERVICE UNIT, OR THE DELIVERY AGENT. I may transfer product to another troop with a signed receipt.
• I will prepare and submit all required final paperwork.
• I will be responsible for any missing money.
• I understand that should I write a check, my account will be debited electronically for the face amount and all fees if returned unpaid.
• I understand I will receive only one letter from Council for any unresolved account.  If my account is not settled after 10 business days, it will be turned over to collections or law enforcement. All fees charged in conjunction with this process will be my responsibility including, but not limited to, attorney fees, court cost and collection fees.