Disbanding Troop/Group Form

Service Unit *

Troop/Group Number *

Community Name *

Current Leader/Advisor First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Please confirm *

Number of girls in troop *

Age level: *

Reason for disbanding troop/group *

Placement of girls:

	# of girls	Grade	Where placed (included troop/group number and name of new leader/advisor.)
A.	# of girls	Grade	Where placed (included troop/group number and name of new leader/advisor.)
B.	# of girls	Grade	Where placed (included troop/group number and name of new leader/advisor.)
C.	# of girls	Grade	Where placed (included troop/group number and name of new leader/advisor.)

Number of girls on waiting list *

Number of girls dropped out *

Please check all completed steps. *

Final Annual Finance Report

Closed bank account; check sent to new leader

Closed bank account; check cut to GSGCNWI

Health History forms for girls not placed have been returned to the girls/parents themselves

Upload Annual Troop Financial Report

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.

Troop/group records and materials are located at: *

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: *

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

Please confirm *

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

Please confirm *