Disbanding Troop Form

Service Unit *

Troop Number (5 digit) *

Current Leader's First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Please confirm *

Original number of girls in troop *

Program Level: *

Reason for disbanding troop. *

Placement of remaining girls:

	Name	Grade	Transferred to Troop number?	Needs a new Troop
A.	Name	Grade	Transferred to Troop number?	Needs a new Troop
B.	Name	Grade	Transferred to Troop number?	Needs a new Troop
C.	Name	Grade	Transferred to Troop number?	Needs a new Troop
D.	Name	Grade	Transferred to Troop number?	Needs a new Troop

Number of girls dropped out *

Final Annual Finance Report turned in *

Yes

No

Is the Troop bank account at a $0 balance *

Yes

No

Closed bank account - funds sent to another Troop/SU *

Yes

No

Troop #/SU#

Persons Name

Closed bank account - funds sent to GSGCNWI *

Yes

No

Date sent +

To which office

Closed bank account - funds donated *

Yes

No

Please explain

Health History Forms for girls have been returned to the parent(s)/guardian(s) *

Yes

No

Upload Annual Troop Financial Report *

Upload $0 balance bank statement - final statement

Upload any additional documentation (optional)

If no girls are continuing in Girl Scouting, the treasury will be placed in a custodial account with Girl Scouts of Greater Chicago and Northwest Indiana.

Location of Troop records and materials: *

Do you plan to register as an adult member next year? *

Yes

No

Do you plan to volunteer in another capacity next year? *

Yes

No

If yes, please list

Report completed by: *

Please submit a copy to your Service Unit Manager by entering the email address below. A copy will go to Council

A. Please send my form to the following email address *

Please confirm *

B. Please send my form to the following email address (optional)

Please confirm