BSA Troop 263 Permission Form

BSA Troop 263 Permission Form Skymont Scout Reservation July 14th – 20th, 2002 Cost for registration and gas is $180.00 Other fees may apply based on some activities chosen. Troop 263 will be meeting at Holy Family parking lot Saturday July 13th at 8:00 a.m. We well return Sunday July 21st (will call). If there is a family emergency and you need to contact your son(s) the contact people are: (Check your adult roster for phone numbers) Diane West Pat Hughes Terry Lynch In the event of a family emergency, the family needs to arrange transportation, as it cannot be a troop responsibility. Return bottom portion to the Troop ……………………………………………………………………………………………… Waiver of Responsibility/Permission Form BSA Troop 263, sponsored by Holy Family Catholic Church, in consideration of the benefits to be derived, and in view of the fact the Boy Scouts of America is an educational institution, membership in which is voluntary, and having full confidence that every reasonable precaution will be taken to ensure the safety of my son(s), namely ________________________________on the activity listed below, I agree to his/their participation and waive claims against leaders of this trip, officers, agents, and representatives of BSA and the sponsor. In event of emergency, the troop leader(s) of named activity has my permission to obtain medical treatment for this/these scout(s) at the nearest available facility, subject to the following restrictions, if any: ________________________________________________ _____________________________________ Signature of Parent or Guardian ________________ Date ACTIVITY: Skymont Scout Reservation July 14th-20th, 2002 EMERGENCY INFORMATION: During the activity I will accept long distance calls and can be contacted at the following numbers: ____________________________________________________________ Current medication the scout(s) is/are taking: ______________________________ Any special instructions for using this or any medicines: ________________________ Any special problems or allergies: __________________________________________ Should leader carry medicine for the scout? ( ) Yes ( ) no Will adult be able to drive? ( ) Yes ( ) no CLASS A UNIFORM AND SCOUT SPIRIT REQUIRED