I give _______________________________ permission to attend the activity

at _________________________from ___________ to _____________.

I also give the adult leaders of Boy Scout Troop 230/Venture Crew 230 permission to administer/request medical assistance for my son if required. Permission is also granted for emergency transport of my son and/or the attention of a Physician or Medic in the administration of aid. Please mark any of the following boxes, as they might apply:

If needed, I could serve as a driver from the Lion’s club to the activity. I have room and seatbelts for a total of ___________ boys.

If needed, I could serve as a driver at the end of the event for the return trip back to the Lion’s club. I have room and seatbelts for a total of__________boys.

I plan to attend this event and help the other adult leaders present.

I cannot attend this event.

Signed: _____________________________ __________________________

(Parent/Guardian) (Date)