Troop
303 Parent / Guardian Permission Slip
August 5 - 7
Please download this form from the website, complete it, and bring
it to the troop meeting to turn in.
In consideration of the benefits to be derived, and in view of the
fact that the Boy Scouts of America is an educational institution, membership
in which is voluntary, and having confidence that every precaution will be
taken to assure the safety and well being of my son(s) ____________________ ____________________
on the activity named above, I agree to his participation and waive all claims
against the leaders of this trip, officers, agents, and representatives of the
Boy Scouts of America, and the Troop sponsor.
All Scouts are strongly encouraged and expected to stay and
participate in the entire activity.
Exceptions to this must be approved either by the Troop Committee Chairman,
Scoutmaster, or Unit Leader of the activity, prior to the due date of this
permission slip.
I understand that if my son is unable to conduct himself in
accordance with the Scout Oath and Law as determined by the Unit Leader of the
activity, if contacted I will be expected to immediately come to the event,
regardless of its location, to pick up my son and bring him home.
In the event of an emergency, the Unit Leader of the activity has
my permission to obtain medical treatment for this Scout at the nearest
hospital or doctor, at my expense, if our own doctor is not readily available,
and as restricted as stated below.
Troop equipment not turned in at the next Troop meeting / PLC will
be accessed a late fee of $5.
Special Instructions / Restrictions concerning my son(s):
During the activity I can be reached at: (
) - ; ( ) - .
These are emergency phone numbers that will be used to contact the
parents or legal guardian of the participant.
Please circle appropriate responses:
I plan to attend this activity: Yes No
Adult’s
Name: .
I can drive for this activity: Yes No
Cell
Phone #: .
__________________________________
Signature _______________________
date
I do currently posses a valid Driver’s License and carry proper car insurance. I am able to maintain physical control of my vehicle at all times, and that it is in safe operating condition. I will not be under the influence of drugs or alcohol that might jeopardize my ability to operate this vehicle in a safe manner. I understand that Troop 303 is committed to compliance with all applicable BSA policies, Federal and Local laws. In addition, the safety and well being of my passengers must maintain a priority at all times. I will enforce the BSA policy stating that all occupants of my vehicle will wear a seat belt.
By signing below I am acknowledging that I have
complete understanding of the above agreement and am able to meet all of its
criteria contained within.
__________________________________ Print name of
driver
__________________________________
Signature _______________________
date
$________Scout,
$________Adult – due with permission slip
TOTAL
COST $ Cash
Check #____ Scout Account