TROOP - 3 PERMISSION SLIP
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I give permission for my son, __________________ , to go with Troop 3 to: __________________________________________________________________________.
Emergency Treatment: I give permission for the Boy Scout adult leaders to authorize emergency treatment for my son should it become necessary.
In the event of an emergency, I can be reached by telephone / pager / other
Phone # (____)________________ Alternate Phone #(____)_______________.
Pager # (____) ________________ Cell Phone # (_____)_________________.
WORK PHONE NUMBER (____) ________________________.
Email Address________________________________________
_________________________________ / _________________
(Signature of Parent / Date)
Doctor’s Care / Medication: Please record if your son is under a Doctor’s care or taking medication for any reason, do not leave blank, write "none" if this does not apply :
Transportation:
I have ____________seat belts and can transport __________scouts
I can transport: TO THE EVENT________FROM THE EVENT_________
I can attend the event ___________I can not attend the event____________
Driver’s Name ______________________Drivers License #_____________________
Kind, year, and make of vehicle ______________________________________________