Troop 318 Overnight Camping

Parental Permission/Release Form

1. My son ______________________, has my permission to participate in the Troop 318 activity: ____________________on ___________________.

I know of no health or fitness restriction(s) that preclude participation. In the event of illness or injury occurring to my son while involved in this activity, I consent to X-ray examination, anesthesia, medical, or surgical diagnostic procedures or treatment that are considered necessary in the best judgment of the attending physician and performed by or under the supervision of a member of the medical staff of the hospital or health care treatment facility furnishing medical services. (It is understood that in the event of a serious illness or injury, reasonable efforts to reach me will be attempted.)

___________________ ___________________ ___________________
(Printed Name of Parent or guardian) (Signature of Parent or Guardian) (Date)

2. Phone numbers where I can be reached during the time of this activity:

Home (___)________________________
or
Work (___)________________________

3. Please remember that the Troop needs/expects parents to attend and/or drive for at least one of every three events their sons attend to provide adequate transportation and supervision. Please fill in one of the following:

_______________ will attend this event;

_______________ will drive for this event;

_______________ cannot attend or drive.

4. Cost for participation in this event is $7.00 per participant. Please make check payable to: Troop 318, BSA.

-Please Sign and Return-