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Permission Slip

As the parent or legal guardian of _________________________ , I hereby give my permission for this child to participate in an
outing with Troop 526.

Location
Activity:

Departure Time:                           Date: __/__/__
Return Time:                                Date: __/__/__

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)