Troop 781 Activity Participation Authorization Emergency Information (for Parents
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TROOP 781 ACTIVITY PARTICIPATION AUTHORIZATION EMERGENCY INFORMATION (for parents to keep) Activity: Troop 781Orienteering Day Leader in Charge: Brian Abbey Fee: Park entry fee per car $6.00 Activity Location: Maybury State Park (Enter off 8 Mile Rd, just West of Beck Rd and go to the Walnut & Hickory picnic shelter area nearest the flag pole upon entering the park) Date: Sunday April 19 at 1PM-4PM Emergency # 734-620-4941 Special Instructions: Dress for the weather. Bring water, compass, raingear, insect repellent, sun screen and Scout Handbook. We will be walking through the fields, wear appropriate footwear. First Class Orienteering will be lead by Mr. Abbey. We will coordinate with parents with regard to setting up arrangements for your scout to return home.
---------------------------------------------------------------------------------------------(Cut here) TROOP 781 ACTIVITY PARTICIPATION AUTHORIZATION In consideration of the benefits to be derived and in view of the fact that the Boy Scouts of America is an educational organization, membership in which is voluntary, and having full confidence that every precaution will be taken to insure safety and well being of all participants during the activity noted below, I hereby acknowledge my awareness and grant my permission for my son, daughter, or ward to participate in the activity. I further state that my son or daughter is in good physical health so far as I know, and that he/she has permission to engage in all prescribed activities, except as noted by me. In the event that I cannot be reached in an emergency, I hereby give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, or to order injection or surgery for my son or daughter.
Participant's Name:
_______________________________________
Activity: Troop 781 Orienteering Day Leader in Charge: Brian Abbey/Bill Hoefling Activity Location: Maybury State Park (Enter off 8 Mile Rd, just West of Beck Rd and go to the Walnut & Hickory picnic shelter area nearest the flag pole upon entering the park) Date: Sunday April 19 at 1PM-4PM
Phone (H) Signature Parent/Guardian
(B)
---------------------------------------------------------------------------------------------(Cut here) TROOP 781 ACTIVITY PARTICIPATION AUTHORIZATION In consideration of the benefits to be derived and in view of the fact that the Boy Scouts of America is an educational organization, membership in which is voluntary, and having full confidence that every precaution will be taken to insure safety and well being of all participants during the activity noted below, I hereby acknowledge my awareness and grant my permission for my son, daughter, or ward to participate in the activity. I further state that my son or daughter is in good physical health so far as I know, and that he/she has permission to engage in all prescribed activities, except as noted by me. In the event that I cannot be reached in an emergency, I hereby give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, or to order injection or surgery for my son or daughter.
Participant's Name:
_______________________________________
Activity: Troop 781 Orienteering Day Leader in Charge: Brian Abbey/Bill Hoefling Activity Location: Maybury State Park (Enter off 8 Mile Rd, just West of Beck Rd and go to the Walnut & Hickory picnic shelter area nearest the flag pole upon entering the park) Date: Sunday April 19 at 1PM-4PM
Phone (H) Signature Parent/Guardian
(B)
