Permission Slip

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Troop 43 Permission Slip

As the parent or legal guardian of
___________________________________________________________
I hereby give my permission for this child to participate in an outing with Troop 43.

Activity:

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

________________________________________________________.

If I cannot be reached,
please contact_________________________________________________

at_________________________________________________.

Signed_______________________________________________.
Date______________________