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BOY SCOUTS OF AMERICA - Troop 635

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									                               BOY SCOUTS OF AMERICA
                                 TROOP 635 ESSEX VT



I give permission for __________________________________________________ to attend

Event:_____________________________________________________________________

Date: _____________________________________________________________________


Adult Availability Information:
Could you attend as adult leadership for the outing                 Yes / No
Are you available to help drive scouts to the outing                Yes / No
Are you available to help drive scouts from the outing              Yes / No
If you can drive how many scouts including your son can you take?   _______

I authorize the leaders to obtain any necessary medical care.

Signed: ____________________________________________________ date ____/____/____

Relationship to scout: _________________________________________

Emergency Contact # during event: _____________________________________________

								
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