BSA TROOP 58 Permission Slip


For: Jokers


Date::  Monday, March 15, 2004


Cost::  $9.75


Scout Name(s):   ____________________________________________________________

has permission to participate in all aspects of the above Boy Scout activity with the leaders and parents of BSA Troop 58.

I understand the risks and dangers involved, and will not hold the leaders nor Troop 58 liable for any accident or injury which may occur during this activity.  In the event of illness or accident in the course of this activity, I request that measures be instituted without delay as the judgment of Troop leaders or medical personnel dictates.

Your signature below is a commitment.  If you sign up for a trip, and then find that you cannot go, remember that plans have been made to accommodate you, and payments have been made for reservations and supplies.  We honor your word.  Please honor your commitment by paying for your share of these expenses whether you go or not.


Emergency phone:   __________________________________________________________________


Signed:   _______________________________________       Date          ________________________

                        (parent or guardian)


Adult Name:  ________________________________________________________________________