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Web Last Updated: Tuesday, 13 May 2003 03:49:01 AM

(Click here to get a copy of or print permission slip)

Milwaukee County Council               Boy Scouts of America

For Boy Scout Troop 21

I hereby grant permission for _____________________________ to go to ______________________________________, on (enter dates)_______________________, under the leadership of Steve Weber and Elmer Lorenzen; and in consideration of his engaging in this activity, I agree to hold harmless the said leaders and their associates; our unit's sponsoring institution and the Boy Scouts of America because of any claim arising on behalf of my said son from a possible injury or illness while engaged in this activity. 

 

     ( ) Parent will attend   

     ( ) Parent will not attend

 

I may be reached at (phone)________________, (address)________________________(city)_________________________ during this time.  In the event I cannot be reached and emergency medical treatment is required,

(check one)

 

( ) you may contact

 

     (name) _____________________________

     (phone) ___________________

     for authorization, or

 

( ) you may authorize medical authorities to prescribe such

      treatment.

 

Date _________   

Signed (Parent or Guardian)________________________________

 

Return this permission slip on the

day we leave for camp