Troop 51 Permission Slip

As the parent or legal guardian of _______________________________________ I hereby give my permission for this child to participate on an outing with Troop 51.

Activity: Devils Marble Yard Hike
Location:
Departure Date/Time: Oct 21 2017
Return Date/Time: Oct 22 2017

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.

Emergency Contacts:
  
Name:____________________________________ Phone:______________________________
  
Name:____________________________________ Phone:______________________________
  
Name:____________________________________ Phone:______________________________

Signed:___________________________________ (Parent or Guardian)

Date: _______________________