Plan 3PI - International Insurance or Insurance for more than 2 nights

Plan 3PI - International Insurance or Insurance for more than 2 nights
Girl Scouts registered members are covered for insurance for 1 or 2 nights.. This form is to fill out if you are planning a trip internationally or for more than 2 nights. This form will submit for accident, sickness, and travel assistance. This insurance costs $1.17 per day.
Troop Number
Service Unit
Person submitting this form

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com

Name and Location of Event

Checks made payable to GSNENY for the Total Premium can be mailed to:

Girl Scouts NENY
8 Mountainview Avenue
Albany NY 12205

Minimum Premium is $5.00. Several events can be combined in one submission.
Type a question

Clear
Payment Status

CheckCredit Card
Please call the office at 518.489.8110 for secure exchange of credit card info.
Insurance requests will be processed within 24-48 hours. You can also call GSNENY with your credit card numbers at 518.489.8110. No insurance requests can be processed for same day events or for past events.
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