Permission Slip                                      
 
As the parent or legal guardian of _________________________ , I hereby give my permission for this child to participate in
an outing with Troop 611.                                                                 
                                                                                          
                                             Location     
Departure Time: 9:00         Date: 10/17/09  Cornerstone Church                           
Return Time:    4:00         Date: 10/17/09  Cornerstone Church                           
 
Activity:       Hike                         Fawn Lake- Adirondacks          


WE will be leaving the Church promptly at 9:00 am,  please bring a bag lunch as we will be eating on the trail.  We should be back to the church by 4:00

We will need adult drivers and chaparones, if you would like to attend with your son please indicate below.  Please return this form at the Septmeber 28th meeting so transportation can be planned.  There will be no cost for this activity
             
 
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)