Celebrating Over 50 Years of

                                                                           Active Scouting

                                                                                    Troop 406

                                                                                                 Royersford PA 19468 USA

Annual Scout Permission Form

I, the parent/guardian of Scout __________________________ give my permission for him to travel and camp with BSA Troop 406 for the scouting calendar year from Spring 200__ through Summer 200__. I hereby waive any and all claims against the leaders of this trip, officers, agents, and representatives of the Boy Scouts of America and the Troop's sponsor (Grace Lutheran Church). In case of emergency, the Troop unit leader of this activity has my permission to obtain medical treatment for this Scout at the nearest hospital or doctor at my expense, if your own doctor is not readily available, and as restricted on the Emergency Data Sheet on file with Troop 406.

Emergency Information:  I can be contacted at the following phone number(s) and will accept collect long distant calls:

home______________ cell ____________________.

This Scout is highly allergic or sensitive to: ___________________________________.

He is taking the following medications: ______________________________________.

with the following instructions: ____________________________________________.

I request that the unit leader carry this medication: YES ______ NO _______

__________________________________. Signature of Parent/Guardian and Date