Re: Premission Slip Text
Lynn Whited (whited@ASTROSUN.TN.CORNELL.EDU)
Thu, 30 Jun 1994 11:57:06 EDT
The following is a copy of the permission slip for the Girl Scouts that our
council uses. It HAS to be signed prior to the trip, in order for the
girls to be covered by GS insurance. The top part is for parental
information. The bottom part parents need to fill out and return to the troop
leader prior to the trip. I hope it helps.
SEVEN LAKES GIRL SCOUT COUNCIL
PARENT PERMISSION FORM
Written consent from parents is required when activities take place
outside of the scheduled meeting place, involve travel, or focus on
sensitive or controversial topics.
Troop / group # _______is planning to particpate in__________________
Date ______Time ________Location____________________Phone___________
Arrangements for transportation:
Time/place of departure _________________________________________
Time/place of return_____________________________________________
Means of transportation__________________________________________
Leaders accompanying the girls:
Name(s)____________________________________________________________
____________________________________________________________
Each girl will need:
Expenses____________________________________________________________
Equipment___________________________________________________________
___________________________________________________________
In case of emergency the leader will notify:
Name _______________________________________
_______________________________________Phone Number____________
-----------------------------------------------------------------------
Parent Permission Form
Return to the Troop Leader
My daughter_____________ has permission to participate in Pioneer Days.
She is in good physical condition and has not had any serious illness
or operation since her last health examination.
During the activity, I may be reached at:
Address____________________________________________________________
Phone______________________________________________________________
If I cannot be reached in the event of an emergency, the following
person is authorized to act in my behalf:
Name and address___________________________________________________
Relation to the participant_________________Phone Number___________
If my daughter will need medication during this period of time, I will
send the medication with her. I understand that it will be dispensed
only under the specific directions of a physician or under written
instructions from the parent or guardian.
Date____________ ____________________________________
Parent or Guardian Signature
Lynn
Terry Howerton Sakima Group, Inc. SCOUTER Magazine Kansas City | 
