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					                                Boy Scout Troop 6
                                 Permission Slip
   1. Scout                                    , has my permission to attend any and all Scouting activities
      conducted by Boy Scout Troop 6 for the calendar year                .
   2. This permission includes being a passenger in a commercial or non-commercial vehicle.
   3. By signing this form I acknowledge that the normal or usual activities involved in Scouting can
      include the risk of serious illness, injury and death. By signing this form I am releasing the Boy
      Scout Troop 6, the Colonial Virginia Council, the Boy Scouts of America, and any employee,
      volunteer, or agent of the same, from any liability, whether known or unknown, even though
      such liability may arise out of the negligence or carelessness on the part of persons or
      organizations mentioned above.
   4. By signing this release the undersigned Scout and parent or guardian HEREBY AGREE TO WAIVE,
      RELEASE, DISCHARGE, IDEMNIFY AND HOLD HARMLESS Boy Scout Troop 6, the Colonial Virginia
      Council, the Boy Scouts of America, and any employee, volunteer, or agent of the same, FROM
      ANY AND ALL CLAIMS FOR DAMAGES FOR DEATH PERSONAL INJURY OR PROPERTY DAMAGE
      WHICH MAY HEREAFTER ACCRUE AS A RESULT OF ANY PARTICIPATION IN ANY Boy Scout Troop
      6, Colonial Virginia Council, and/or Boy Scouts of America program, related activity or event.
   5. I also understand that I may exempt my Scout from this general release only by non-
      participation in a particular activity or event.
   6. In the event that I cannot be reached in an emergency, I hereby give my permission to the
      physician or hospital selected by the adult leaders of Troop 6 to hospitalize, secure anesthesia,
      or to order appropriate testing, medication or surgery for my son.

Scout’s Printed Name:                                                        .
 I will live by the Boy Scout Oath, Law, Motto and Slogan and abide by the Outdoor Code.
Failure to obey these requirements can result in my parents being called to come and take me
home from the outing.
Scouts Signature:                                            .

Parent/Guardian Printed Name:                                                     .

Parent/Guardian Signature:                                                    .

Date:                                               .

Phone:                                                  , Cell                                           .

Phone:                                                  , Cell                                           .

Name of Health Insurance Company:                                                      .

Policy Number:                                                   .

				
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posted:9/25/2012
language:English
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