2025-26 Cookie/Money Exchange Electronic Receipt

Cookie/Money Exchange Electronic Receipt

Use this form whenever you exchange cookies and/or money with a girl's caregiver.
Volunteer Name

First NameLast Name
Caregiver Name

First NameLast Name
Volunteer Email
example@example.com
Caregiver Email
example@example.com
Girl Scout Name

First NameLast Name
Service Unit
Troop Number
Which of the following is being exchanged today?

Total Packages
Total Cases
Total $
Amount Paid Today
cash/check/other collected in person
Digital Cookie (DOC) Online Payment
DOC girl delivery/in hand cookies paid online
Remaining Balance
Balance Due
Amount Paid Today
cash/check/other collected in person
Remaining Balance
Paid with (Check all that apply)

Other
I acknowledge that my Girl Scout has permission to participate in the Girl Scout Cookie Program and I am financially responsible for the cookies received.
Volunteer Signature
Caregiver Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Notes
Should be Empty: