Permission Slip

 

 

As the parent or legal guardian of <Scout Name>____________, I hereby give my permission for this child to participate in an outing with Troop 58.     

         

                                                                                          Location   

Departure Time:       6:30 pm              Date:   01/09/04       Konko Church               

Return Time:             TBD                  Date:   01/11/04       Lake Tahoe

         

Activity:             Winter Ski Trip                         Lake Tahoe / Homewood Ski Resort               

         

I give permission to the leaders of the above unit to render 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 ____________________. 

         

 

 

Signed: ______________________________  Date: _______________    

                   (Parent or Guardian)