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

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 ____________________________.

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