5th RICHMOND SCOUT TROOP

"Preparing Our Youth For Their Future"



Parent/Guardian Consent Form

Scout?s Name:___________________________________________ Phone:___________________________
Address:__________________________________________________ City:___________________________
Parent/Guardian Name:_________________________________

Experience has shown that in connection with Scouting activities there are times when illness or accident may occur and immediate surgical or medical attention is necessary. This is my permission for the Leader in charge, or designate, to make arrangements for qualified surgical or medical attention for my child/ward in the event of an emergency without necessity of my prior approval. I understand that I wilt be notified by the quickest means possible if this authority is exercised.

IF YOU WILL BE ABSENT FROM YOUR NORMAL PLACE OF RESIDENCE DURING THE PERIOD WHEN THE EVENT IS BEING HELD, PLEASE INDICATE WHERE YOU CAN BE CONTACTED:

Name:__________________________________________________ Phone:___________________________
Address:__________________________________________________ City:___________________________


Permission to participate:
I the undersigned, after having read, understood and completed the above, hereby give my permission for my child/ward to attend and participate in:____________________________________________
To be held on: _____________________________________________________
I have reviewed the information on my child?s/ward?s physical fitness form and confirm that the information is up to date.
Signed, Parent/Guardian: ____________________________________ Date:_________________


TO BE COMPLETED BY SCOUT:
I, (Scout?s Name please print)________________________________hereby promise to obey all rules, to live by the Scout law, and to do my best to make this event a success for all those taking part.

Scout?s Signature: __________________________________________. Date:_________________


Meet at Scout Hall:_____________________________Return to Scout Hall:_______________________
Camp fee:_____________________________________ Transportation:___________________________