Troop 615 ScOuting Permission Slip

Event:   __________________________________________________________________________

 

Coordinators:

Scout:   ______________________________Phone: ________________Email: _________________

 

Adult:   ______________________________Phone: ________________Email: _________________

 

            Date:                ____________________________________________________________________

 

Location:          ____________________________________________________________________

 

            Cost:                ____________________________________________________________________

 

Time/Place of Departure:     __________________________________________________

 

Time/Place of Return: _______________________________________________________________

 

E                                              Equipment Required of each Scout: _____________________________________________________

 

                                               ________________________________________________________________________________

 

 

----------------------------------------------------------- Detach and return lower portion. Please send cash --------------------------------------------------------------------------

 

As the parent or legal guardian of ____________________________________________________, I hereby give my permission for him to participate in __________________________________________________________, an outing with Troop 615. I give permission to the leaders of Troop 615 to render First Aid, should the need arise. In the case of 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 Troop 615 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 an emergency, I can be reached by phone at _____________________

 

or____________________________.  If I cannot be reached, please contact

 

_________________________________ at _____________________________.

 

Signed: _____________________________      Date:________________________                                                                                    

              (Parent or Guardian)

 

I can not attend this activity. ____________________________________________________

Parental participation - (please check one) –

 

____    I will attend this outing.  My vehicle can accommodate ___ people and their equipment.

 

____    I cannot attend, but can provide transportation to / from (circle one or both) the destination. My vehicle can accommodate ____ people.

 

____    I cannot attend or provide transportation on this outing.