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Troop 9999 B.S.A, YourTown, YourState
![]() XYZ Church, Chartered Organization |
Permission Slip for Troop Outing
As the parent or legal guardian
of ____________________________________,
I hereby give my permission
for him to participate in an outing with Troop 9999.
Date of Outing:__________________
Location:__________________________________________
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 an emergency, I can be reached by phone at (______)___________ or
(______)_____________. If I cannot be reached, please contact
________________________________
at (______)_____________.
Signed: ______________________________________
Date:_______________
(Parent or Guardian)
5/19/2004