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Venturing Crew 1005, Yorktown Heights, NY

Permission Slip for Venturing Crew Outing

As the parent or legal guardian of ____________________________________,
I hereby give my permission for him to participate in an outing with Venturing Crew 1005.

Date of Outing:__________________


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 an emergency, I can be reached by phone at (______)___________ or

(______)_____________.   If I cannot be reached, please contact

________________________________ at (______)_____________.

Signed: ______________________________________ Date:_______________
                              (Parent or Guardian)