|
Permission Slip
As the parent or legal guardian of _________________________ , I
hereby give my permission for this child to participate in an outing
with Troop 316.
Departure Time: 4:00PM Date: 12/05/03 Newberry,SC
Return Time: 1:00 PM Date: 12/07/03 Newberry, SC
Activity: Camp Old Indian
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: _______________
|
|
