Troop 781 Activityparticipation Authorization Emergency Information (for Parents To
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View Troop 781 Activityparticipation Authorization Emergency Information (for Parents To as PDF for free.
More details
- Words: 249
- Pages: 1
TROOP
781
ACTIVITYPARTICIPATION AUTHORIZATION EMERGENCY INFORMATION
(for parents to keep) Activity: WinterHike Saturday, Jan 10,2009 Leader in Charge: Bill Hoetling, Time: 8:30pm to 12:30 pm
Meet at OLGC School at 8:30 AM Activity
Location:Campiffitr
Great Sauk Trail Council
Gregory MI48137
Emergency Number: 1.734.634.7921 Special Instructions: Dress warm.
TROOP
7ET ACTIVITYPARTICIPATIONAUTHORIZATION
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 gfant 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: Winter Hike Saturday, Jan 10,20A9 Leader in Charge: Bill Hoefling, Time: 8:30AM to 12:30 pm Activity Location: Carnp Munhacke Great Sauk Trail Council 20120 Bartell Rd Gregory MI48l37
Phone (H) S i gnature
Parent/Guardi an
Please supply a
_
(C)
current *Eo' mail address to update our records
781
ACTIVITYPARTICIPATION AUTHORIZATION EMERGENCY INFORMATION
(for parents to keep) Activity: WinterHike Saturday, Jan 10,2009 Leader in Charge: Bill Hoetling, Time: 8:30pm to 12:30 pm
Meet at OLGC School at 8:30 AM Activity
Location:Campiffitr
Great Sauk Trail Council
Gregory MI48137
Emergency Number: 1.734.634.7921 Special Instructions: Dress warm.
TROOP
7ET ACTIVITYPARTICIPATIONAUTHORIZATION
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 gfant 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: Winter Hike Saturday, Jan 10,20A9 Leader in Charge: Bill Hoefling, Time: 8:30AM to 12:30 pm Activity Location: Carnp Munhacke Great Sauk Trail Council 20120 Bartell Rd Gregory MI48l37
Phone (H) S i gnature
Parent/Guardi an
Please supply a
_
(C)
current *Eo' mail address to update our records
