Meeting in a Private Home Approval Form "*" indicates required fields When choosing a safe meeting space, consider the age range and type of activities you want to engage in when selecting a location or facility for your troop meetings. A meeting space needs to provide a safe, clean, and secure environment that allows for participation of all Girl Scouts members. For some troops this may mean meeting in a leader’s home. Girl Scouts does not recommend holding troop meetings in private homes. However, if you are considering meeting in a private home, remember to ensure the standards as described in Safety Activity Checkpoints.CONTACT INFORMATIONName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Phone*Do additional adults 18 years of age or older live at this address? Yes No How many additional adults (18+) live at this address?*12345ADDITIONAL ADULT #1Name First Last Email Enter Email Confirm Email ADDITIONAL ADULT #2Name First Last Email Enter Email Confirm Email ADDITIONAL ADULT #3Name First Last Email Enter Email Confirm Email ADDITIONAL ADULT #4Name First Last Email Enter Email Confirm Email ADDITIONAL ADULT #5Name First Last Email Enter Email Confirm Email Confirmation of BG/LiveScanI confirm that all adults living in my home have completed background screening, either Asurint or Live Scan Fingerprinting as needed. GSGLA reserves the right to check and verify the membership and background status of each individual included on this form. I agree and confirm that all adults are in compliance. I understand that GSGLA reserves the right to verify any and all compliance statuses. Please check each box to confirm compliance. Obtain approval from your council. The private home must be the home of registered, council approved volunteers. Girl Scout members may not meet in a home where a registered sex offender resides. GSGLA requires membership and background checks for all adults living in the home. Troop members need to be able to focus without disruptions from other household members. Animals should be kept in a place that is separate from the meeting space. Troop meetings in the home are covered by the council’s liability insurance carrier. However, homeowners should consider any personal insurance implications. The homeowner should ask their personal homeowner’s insurance carrier if there are any insurance concerns with troop meetings in the home. Weapons must be out of view and in a locked space. Medication, cleaning products, or any poisonous substances must be stored in a secure space, out of sight, and preferably locked. As long as I continue to meet with my troop, I will fill out this eform on an annual basis. Upon approval a reciprocal COI, General Liability will be issued to the adult and address named above. For questions, please contact riskmanagement@girlscoutsla.org.CAPTCHA
