Permission Form

Troop 12 Permission Form

Troop 12 Berkeley Ashton of St. Joseph's Parish Permission Form

This form is to certify that Scout ________________________________ has my permission to go with Troop 12 on the following activities: (Please Circle Activity)

ACTIVITY INFORMATION:

1._____________________________________________________________

2. _____________________________________________________________

3. _____________________________________________________________
Parent or Guardian Information:
Name_____________________________________________________________

Emergency Contact Information________________________________________________________

If you are available to provide transportation and/or attend, Please Circle one of the following.

YES I CAN PROVIDE TRANSPORTATION FOR (Which Activities): __________________________________________________________

YES I CAN ATTEND (Which Activities): __________________________________________________________

YES I CAN PROVIDE TRANSPORTATION AND ATTEND (Which Activities): ___________________________________________________________

Signature (parent or guardian)/Date _____________________________________

This permission form should be signed and returned by ______________