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 17TH
 
Location:  RANGE POND POLAND MAINE
 
Arrival:  9AM at Conner road off Rt. 26
 
Pick up:  By 3PM.
 
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
Remember bring a lunch for Saturday!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!