Troop 319 Permission Slip

As the parent or legal guardian of __________________________, I hereby give my permission for this child to participate in an outing with Troop 319.

                                                                                         

Location/Activity: ______________________________________________

Departure Time: _______________________________________________

Return Date/Time:______________________________________________

     I give permission to the leaders of the above unit to render or acquire First Aid, should the need arise. In the event of an emergency, I also give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, order injection, or secure other medical treatment, as needed.                                 

                                                                                         

     I further agree to hold the above named unit and its leaders blameless for any accidents that might occur during this outing except for clear acts of negligence or non-adherence to BSA policies and guidelines.     

                                                                                          

In case of emergency, I can be reached by phone at ____________________                  

or ____________________.     If I cannot be reached, please contact                         

 

_________________________________ at _________________________.

 

Printed Name: ___________________________________

Signature:______________________________________

Date:__________________________________________

                        (Parent or Guardian)