Service Unit Event Emergency Form

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Planning an event* for your service unit?

You've come to the right place. Use the form below to submit your event to our council-wide emergency contact calendar for events at the service unit level. By submitting this form well in advance of your event, the council will be prepared in case of emergencies at your event. We'll also have the needed information to answer questions and help you promote your event if we happen to get calls to our council office about it. This information will be stored on a private website, and will not be accessible by the public.

* Generally, an "event" involves girls from more than two troops - if you're not sure if your activity qualifies as an event, contact your CDD for assistance.

Already submitted this form, but need to make a change?

If you've already submitted this form but some of the information has changed, please contact your CDD with the changes you'd like to make, DO NOT SUBMIT A NEW FORM.

To look up your CDD, choose your county below:

Submit a Service Unit Event Form:

Event Information

*Name of Event:

*Location:
(please provide enough information to find this event, address/city/state/park/camp/etc.)

*Start Date (mm/dd/yyyy):

End Date (mm/dd/yyyy):

*Start Time:
(hh:mm a.m./p.m.)

*End Time:
(hh:mm a.m./p.m.)

*Expected # Participants:
(include adults and girls)

Event Director Information

*First Name:

*Last Name:

*Home Phone:

Cell/Other Phone:

*Email Address:

Emergency Contact Information

Event Emergency Contact will coordinate communication between Event on-site personnel and Troop/Group Emergency Contacts in case of an emergency. This person will be at home during the event and will activate and coordinate the Troop/Group emergency phone tree if necessary. The person will have contact information to reach adults on-site during the event. On-site contact information should include at least one "land line" phone number on site if at all possible.

*First Name:

*Last Name:

*Home Phone:

Cell/Other Phone:

Email Address:

Service Unit Information

Please provide the information below for the event director's service unit. If more than one service unit is planning this event, please indicate the other service unit(s) involved in the "Additional Information" section below.

If the main council contact for this event is someone other than your CDD, please list that person instead of your CDD.

*County:

*Service Unit:

*CDD First Name:

*CDD Last Name:

*CDD Phone:

Email Address:

Service Unit Director or Program Support Manager

*First Name:

*Last Name:

*Home Phone:

Cell/Other Phone:

Email Address:

Additional Information

Please provide any additional information you think would be important for the council to have in case of emergency.

If there are additional service units or groups helping to plan this event, please list their names/numbers and the service unit director or Program Support Manager's name and contact information here.

* Required fields

The information you provided will be saved in our service unit event emergency database, and a copy will be emailed to your CDD or council contact (named above), as well as the event director (named above). Once you submit this form you may print a copy for your records.