PERMISSION SLIP

For Scout To Attend a Pack 958 Outing

As the parent or legal guardian of _________________________, I hereby give my permission for him to participate in an outing with Pack 958.

Date of Outing:__________________________________

Location:_______________________________

Time/Place of Departure: ___________________

Time/Place of Return: _____________________

I give permission to the leaders of Pack 958 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 Pack 958 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 

_____________________________(home) or

_____________________________(work) or

_____________________________(pager/mobile)

If I cannot be reached, please contact ____________________________

at _____________________________.

Signed:______________________________ (Parent or Guardian)

Date: ______________