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The form requires distribution of copies to the trip emergency contact and to carry it during travel, while keeping girl and adult medical forms separately with the first aider. It captures region, dates, first-aid level, trip description, itinerary, required certifications, participant roster, medical concerns, emergency and non-emergency action steps, home emergency contacts, agency contact information, and final paperwork checklist including notarized authorizations and scanned passports.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/girl-scouts-of-utah-trip-action-plan-trip-planning-and-emergency-checklist/238078/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/girl-scouts-of-utah-trip-action-plan-trip-planning-and-emergency-checklist/238078.png","ImageObject",442,249,{"name":88,"@type":89},"Riley","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-11-01","2026-09-11",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who should receive copies of the Trip Action Plan and what should be carried during the trip?","Question",{"text":109,"@type":110},"A copy is left with your trip emergency contact, and a copy is brought on the trip. Girl and adult medical forms should be kept separately with the first aider.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What information is required to plan the trip itinerary and description?",{"text":114,"@type":110},"The form asks for a brief trip description and any differing activities, plus an itinerary table with date, approximate time, activity, location/vendor, and contact information.",{"name":116,"@type":107,"acceptedAnswer":117},"What emergency response responsibilities does the form define?",{"text":118,"@type":110},"It identifies the primary and secondary caregivers and who makes decisions if plans change (e.g., weather or unsafe conditions). It also includes how evacuation would happen and specifies non-emergency action steps for issues like behavior problems and illness.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},238078,1790020751,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},1374391975076,"https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051","GIRL SCOUTS OF UTAH TRIP ACTION PLAN  \nThis form is a tool for girls and advisors when planning trips and should be developed and discussed with girls, a copy should be left with your trip Emergency Contact, and a copy brought on the trip with you. Girl and adult medical forms should be kept separately with the First Aider.  \nLead Trip Advisor:  \nPhone: Email:  \n\n| Activity/Trip: |  |\n| --- | --- |\n| Region/Location: | Days & Date(s) of Activity: |\n| Distance from EMS: | Level of First Aid Required: |\n\nTrip/Activity Description  \n. . , , .  \nInclude a brief description of your trip Please note if different activities will be done (ex rock climbing museums etc )  \n\n| Trip Itinerary |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| Date | Approx. Time | Activity | Location/Vendor Name and Address | Contact Information |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\n\n| Name | Certifications/Girl Scout Workshops\u003Cbr>(First Aid/CPR, Travel Workshop, Lifeguard, etc.) | Date Completed | Expiration\u003Cbr>(if applicable) |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n\nCERTIFICATIONS  \nWhat is the Adult/Participant Ratio for your trip:   adult to   girls  \n\n| Trip Participant Roster |  |  |  |\n| --- | --- | --- | --- |\n| Girl/Advisor Name | Age | Guardian/Emergency Contact | Guardian/Emergency Contact Phone |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n\n\n| Medical Concerns and Physical Limitations of Participants (including Adult Advisors) |  |  |\n| --- | --- | --- |\n| Name | Description of Limitation or Concern | Action Taken/Accommodations Made |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\n\n| Action Steps in case of Emergency: |\n| --- |\n| 1. Who is the primary care giver? |\n| 2. Who is the secondary caregiver? |\n| 3. Who makes decisions in the event of changed plans (inclement weather, unsafe conditions, museum closed, etc. )? |\n| 4. How would evacuation happen? |\n\n\n| Non-Emergency Action Steps: Include steps for behavior problems, illness, and change of plans. See Global Travel Toolkit Appendix for an example of a behavior contract that should be established with the group prior to the trip. |\n| --- |\n| Disobeying Behavior Agreement 1st Offense: |\n| Disobeying Behavior Agreement 2nd Offense: |\n| Not following directions/being disrespectful: |\n\n\n| At-Home Emergency Contacts |  |  |\n| --- | --- | --- |\n| Name: (list in priority order) | Day Phone Number: | Evening Phone Number: |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\n\n| Traveling Resources and Agency Contacts: List phone numbers for the area where your trip will be. Indicate if numbers are 8-5 or available after-hours. Include embassy information, consulates, hospitals, etc. |  |  |\n| --- | --- | --- |\n| Agency | Telephone | Hours of Operation |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\nFinal Paperwork and Checklist:  \nTrip Action Plan (this form) filled out completely.  \nPaperwork signed by Participant or Parent/Guardian:  \no Notarized Authorization for Medical Treatment (for girls and adults)  \no Notarized Permission to Travel with Minor Form  \no Medical History Form (for girls and adults)  \no Copies of girl and adult passports scanned and emailed to Trip Leader(s)  \nCC (leave a copy with): Emergency Contact   \nOther Trip Leader(s)","cbCaievtoK63rB36","https://ap.wps.com/l/cbCaievtoK63rB36","pdf",154338,"English","# Trip Planning Information\n## Lead Trip Advisor\n## Region/Location and Dates\n## Trip Description and Itinerary\n# Certifications and Participant Details\n## Certifications and Required Adult/Participant Ratio\n## Trip Participant Roster\n## Medical Concerns and Limitations\n# Emergency and Non-Emergency Procedures\n## Action Steps in case of Emergency\n## Non-Emergency Action Steps\n## At-Home Emergency Contacts\n## Traveling Resources and Agency Contacts\n# Final Paperwork and Checklist","[{\"question\":\"Who should receive copies of the Trip Action Plan and what should be carried during the trip?\",\"answer\":\"A copy is left with your trip emergency contact, and a copy is brought on the trip. Girl and adult medical forms should be kept separately with the first aider.\"},{\"question\":\"What information is required to plan the trip itinerary and description?\",\"answer\":\"The form asks for a brief trip description and any differing activities, plus an itinerary table with date, approximate time, activity, location/vendor, and contact information.\"},{\"question\":\"What emergency response responsibilities does the form define?\",\"answer\":\"It identifies the primary and secondary caregivers and who makes decisions if plans change (e.g., weather or unsafe conditions). It also includes how evacuation would happen and specifies non-emergency action steps for issues like behavior problems and illness.\"}]","Girl Scouts of Utah Trip Action Plan - Trip Planning and Emergency Checklist | PDF",1789130702]