As the parent or legal guardian of _________________________ , I hereby give my permission
for this child to
participate in an outing with Troop 77.
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)