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Next Trip Information

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GENERIC PERMISSION FORM

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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 telephone at________________ or ____________________. In case I can not be reached please contact _____________________at __________________.

Your scout will be met by_____________________on Sunday afternoon for a ride home. Phone number for Sunday afternoon call is _________________________.

Signed:__________________________Date_________________________

(Parent/Guardian)

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