| PLEASE SIGN AND RETURN FORM at the time
the money is turned in for the event. Forms are available
at the meetings and on the website. Event: _______________________________________________________________________________ Date(s): ______________________________________________________________________________ Location: _____________________________________________________________________________ Name of Scout:_________________________________________________________________________ Parent can drive and Auto insurance form is up to date and on file: THERE: Yes / No Can take # of passengers_______________________________________________ BACK: Yes / No Can take # of passengers _______________________________________________ (You will be notified prior to the event if you are needed to drive, thank you.) Parent can attend event: ______________________________________________________________ Special circumstances to be aware of: ____________________________________________________ Emergency phone # and name of parent: __________________________________________________ I hereby give permission for my child ____________________________________to participate in the above named Troop 810 even. I understand and accept the risks inherent in such activity. In consideration for my child's participation, I, for myself, and my child's other parent/guardian, hereby release and will indemnify Assumption Parish, Assumption School, Troop 810, the event location and sponsor and all individuals from any claim whatsoever as a result of my child's participation in the activity.
Parent / Guardian Signature _______________________________________________________ Date signed ___________________________________________________________________ Money turned in $ ______________________________________________________________ |