Troop 905 Permission Slip

TROOP 905 PERMISSION SLIP
Countryside in Sterling, Virginia

Event:

Date:

Depart From:

Return To:

As the parent or legal guardian of , I hereby

	give my permission for him to participate in the above stated outing with Troop 905.
	will not allow him to participate in the above stated outing with Troop 905.
	I will be able to provide transportation. My vehicle holds passengers including driver. (Transportation: Out Return Both Ways)
	Parent(s) planning to attend. Name(s):
Total attached: $ ($10.00 per each scout and adult for food. Cash is preferred so that funds can be provided to Grubmasters to buy food in advance.) I give permission to the leaders of Troop 905 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 . My son has
	the following medical condition(s) that adult leaders must be aware of:
	no medical conditions
My son requires
	the following medication(s) that adult leaders must supervise and assist in administering:
	no medications

Signed: _________________________________ Date: _______________
(Parent or Guardian)

Complete this form, then print, sign and return it with payment to your Patrol Leader at least TWO WEEKS before the event.