Troop 583 Permission Slip 

As parent or legal guardian of ______________________, I hereby give my 
permission for him to participate in the Troop 583 outing listed below. 
I give the leaders of the above described activity to render First Aid 
should the need arise.  In the event of an emergency, I also give 
permission to the Physician selected by the adult leader in charge to 
hospitalize, secure proper anesthesia, order injection, or secure other 
medical treatment as needed.  I further agree to hold the above named 
unit and the adult leaders blameless for any accidents that might occur 
during this outing except for clear acts of negligence or non-adherence 
to BSA policies and guidelines.
In case of emergency, I can be reached by phone at ________________ or 

____________________.   

If I cannot be reached at these numbers, 

please contact _________________________ at phone #_______________________ 

Signed:__________________________________ Date:_______________________
               Parent or Guardian

Medical Insurance: Company___________________Policy #__________________

Event __ Pack 1400 cooking assistance _  
           at Idea Quest Acad., Edinburg, Texas 

date Saturday,  22 May 2010   

>>>>> Please bring this half and <<<<<<
>>>>>  turn it in at troop departure gathering on  Saturday  <<<<<<


------------ Parents retain this part (below)----------------------

            Troop 583  -  Permission Slip

Event __ Pack 1400 cooking assistance _  
           at Idea Quest Acad., Edinburg, Texas 
 
  depart  at  10:00 am 
 from Holy Spirit Church west Parking Lot

Return:  Same Day - before 3:00 pm 
  to  Holy Spirit Church west Parking Lot

 Emergency Contact # for the weekend:    

                 Gerard Mittelstaedt 956 739-8776  
                 Mona Mittelstaedt   956 739-7917    
                 Rick Gray           956 566-9057