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: |
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Location: |
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Time / Place of Departure: |
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Time / Place of Return: |
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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