Please fill in all information and send with your son to the troop meeting before campout.

please copy and paste this form on your computer for future use.

  Troop 43 Three Fires Council Carpentersville IL.     Permission Slip

Activity: __________________________________________ Cost of activity:_______________________
Date(s) of activity:_____________________________________
Location _________________________________________________________________
Departure Time: ________________  Departure from:_______________________________________        

Return time:___________  Return date:______________ Return location:_________________________

Contact Person:_________________________________________

Phone number:____________________________________________

As the parent or legal guardian of _________________________ , I hereby give my permission for this child to
participate in an outing with Troop 43.

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)