Crew 241

Activity Permission Slip

 As the parents or legal guardian of _______________________________, I hereby give my permission for him to participate in an outing with Venturing Crew 241. 

Date:

 

Location:

 

Time / Place of Departure:

 

Time / Place of Return:

 

 I give my permission to the leaders of Troop 241 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 unit and its leaders blameless for any accidents that might occur during this outing except for clear acts of negligence or non-adherence to Boy Scouts of America policies and guidelines.

 In case of emergency, I can be reached by phone at _________________________________ or _________________________________.  If I cannot be reached, please contact ___________________________________ at ____________________________________.

 

Signature

 

 

Printed Name