Troop 174 B.S.A, Yorktown Heights N.Y.

Grace Lutheran Church  3830 Gomer St.  Yorktown Hgts. N.Y.  10598

Permission Slip for Use of Power Tools at Troop Outing

As the parent or legal guardian of ____________________________________,
I hereby give my permission for him to use power tools in an outing with Troop 174.

Date of Outing:__________________


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)