Boy Scout Troop 153, Durant, IA

 

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Troop 153 Permission Slip 

As the parent or legal guardian of _________________________ , I hereby give my permission for this child to participate in an outing with Troop 153. 


Please return this permission slip with $5 meal fee by the meeting prior to departure. 

Activity / Location :______________________________________________________________________


Departure Time: Date: ____/____/____     
Return Time: Date: ____/____/____ 

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: _______________ 
(Parent or Guardian)