Boy Scout Troop 1018 Activity Permission Slip

Powhatan District Spring Camporee

As the parent or legal guardian of __________________________________________,

I hereby give my permission for him to participate in an activity with BSA Troop 1018.

Activity: Powhatan District Spring Camporee

Location:  Camp Snyder, VA

Departure: Friday, 16 May 2008, DUMC, 7:00 p.m.

Return: Sunday, 18 May 2008, DUMC, mid-morning

Activity cost: $20 (make checks payable to BSA Troop 1018)

I give permission to the leaders of BSA Troop 1018 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 injections, or secure other medical treatment as needed. I further agree to hold BSA Troop 1018 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: ________________________

Alternate: (i.e. cell, pager): ___________________________

If I cannot be reached, please contact:

Name: _______________________________________

At (phone): ______________________________

Medical Insurance Company: ____________________    Policy number: _____________

Signed: __________________________________________ Date: _______________

(Parent or guardian)

If you would like to pay for this activity with Scout Bucks check here: ¨

Can you provide transportation?          Going – yes/no         Returning – yes/no

Passenger capacity with seat belts (excluding driver):  ___________________

If your son will not be traveling with the group, please indicate schedule changes (e.g. arriving late, leaving early, etc) _________________________________________________

Other notes for troop leaders?  ___________________________________________