Troop 113 Generic Permission Slip

Event Name ____________________________________________________

I give permission for any necessary medical treatment to be given to my son,____________________________ 
in the event of an emergency.

I can be reached at___________________, or _________________.

If I can not be contacted, please contact__________________ phone number______________.

Any medical restrictions _______________________________________________________________.

 Signed______________________________________       Date___________________
               (parent or legal guardian)
 

More detailed information about the event should be available elsewhere on the Troop 113 web site: http://www.troop113.indianhead.org/