Kenneth Spiegel (MVAEMT@AOL.COM)
Mon, 24 Feb 1997 06:19:28 -0500
Attached is Troop 209's permission slip. I saved it as a windows txt file if
anyone needs a diffrent format please E-mail me with the type of file you
need and I will try to send it to you.
Assistant Scoutmaster T209, Medford, NY (Long Island)
Suffolk County Jewish Committee on Scouting
OA - NE-2A Conclave advisor
Troop 209 is going to:_ ,on,_ , 1997 and w=
return on , 1997.
Time leaving: __ ___. Time Returning, Cost: $, _P=
The Troop will leave from =
The Troop will return to =
If you need to contact your scout and only in case of an emergency call ,=
It may be extremely difficult to make contact especially if hiking.
Please retum the Scoutmasters copy with any cost by - =
Waver of Responsibility
Scoutmaster carries this form, one for each scout.=
Troop 209 Bay Scouts of America
Sponsor Eagle Avenue PTA.
When a boy makes an application to become a Boy Scout, his parents o=
r guardian by their signature have
obligated themselves to assist the Troop Leaders, if called upon. The ess=
ence of Scouting is the outdoor program and it
is here that the help of the father is needed most. If all fathers (paren=
ts) participated, they would be needed to serve a
day or night only once a year.
In consideration of the benefits to be derived, and in view of the f=
act that the Boy Scouts of America is an
educational institution, membership which is voluntary, and having full c=
onfidence that every precaution will be taken
to ensure the safety and well being of my Scout son(s)/ward(s) namely, =
on the activity named below, I Agree to his participation and waive all c=
laims against the leaders of this troop,
officers, agents, and representatives of the Boy Scouts of America, and t=
I the undersigned do so declare that if I or my representative does =
not pick up the above named Scout at the pick
up point at the designated time the Troop representative has my permissio=
n to place him in a taxi to send him home and
I will pay any and all taxi fees for said service.
in the event of an emergency, the troop unit leader of the activity =
has my permission to obtain medical
treatment for the above named scout at the nearest hospital, doctor or me=
dical facilities, at my expense, if our own
doctor is not readily available, and as restricted on the Emergency Data =
Sheet on file with Troop 209.
Signature of parent or guardian. D=
ate 1997 =
ACTIVITY:AII necessary Scouting activities including hiking a=
nd camping activities.
Emergency information (In addition to personal health and medical record =
filed with Troop 209)
During the activity listed above, I can be contacted at the following pho=
ne numbers and wlill accept long distance calls.
( ) =
( ) =
This scout is highly allergic or sensitive to =
What, if any medication is the scout taldng? =
Any special instructions for this medication? =
Do you want the unit leader to carry this medication? Yes, _ _ No___
Use the back of this form far additional information and for explanation =
of any other problems the activity unit leader
should be aware of.
Date of the latest or last tetanus shot/booster,, =
Medical insurance information; =
Policy No. =
Control No. If group policy =
Scouts Social Security Number =
Terry Howerton Sakima Group, Inc. SCOUTER Magazine Kansas City