Ice Fishing    PERMISSION SLIP

As the parent or legal guardian of _______________________, I hereby 
give my permission for him to participate in an outing with Troop 58

Date:  FEB 19TH&20TH

Location:  RANGE POND POLAND MAINE

Arrival:  9AM at YMCA property Conner road off Rt 26

Pick up:  By 2PM YMCA property on Sunday.

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 emergency, I can be reached by phone at ________________ 
or ________________.  If I cannot be reached, please contact 
____________________________________ at ____________________________.

Signed:  _________________________________________   Date: ___________
                  (Parent or Guardian)

We need Adults to attend:______________________
Cost= $1.00 for the day or$5.00 for the night. 
Remember bring a lunch for Saturday!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!