To attend this event, you must give this form to your scoutmaster at least one week before the event.
Parents Permission: The undersigned, being the parent or guardian of ____________________ do hereby give permission for my son to participate in the above-mentioned activity. If I cannot be reached, I also give permission to the physician, selected by the unit leader in charge, to hospitalize, secure proper anesthesia, order injection, or secure other medical treatment, as needed. I do hereby release all officials and leaders of Troop 132 of The Boy Scouts of America and the Blue Water Council from any and all liabilities for any accident or injury sustained by said scout while engaged in this activity except for clear acts of negligence or non-adherence to BSA policies and guidelines. Signature of parent or guardian:______________________ Date:_____________________ Name of Insurance____________________________________ Insurance Carrier Numbers ___________________ Phone Number to be reached :________
