Troop 479 Activity Information

Event: Backpacking / Dumpcamping campout

Event Location: Rock Creek

Start Date: Saturday November 14

Drop Off Time: 7:00 AM

Drop Off Location: Holy Trinity Lutheran Parking Lot

End Date: Sunday November 15

Pick Up Time: 3:00 PM

Pick Up Location: Holy Trinity Lutheran Parking Lot

Event Cost:

Additional Information:

Event cost is payable by the deadline announced at the Troop meetings, or at the Troop meeting before the event if no other deadline is announced.

Troop 479 BSA

Parent /Guardian Consent and

Approval for Boy Scout Activity

To Whom It May Concern:
I hereby give my son, ________________________________, permission to participate this activity with Troop 479, BSA. I approve of the leaders who will be in charge of this activity. I also certify that to the best of my knowledge the youth participant named is physically fit to engage in the activity described above. I understand that participation in the Boy Scout Activities offered through Troop 479 of the Atlanta Area Council, BSA, involves a certain degree of risk that could result in injury or death. In consideration of the benefits to be derived and after carefully considering the risk involved and in view of the fact that the Boy Scouts of America is an organization in which membership is voluntary and having full confidence that precautions will be taken to ensure the safety and well-being of my son, I have given my son, my consent to participate in those activities, and waive all claims I may have against Boy Scouts of America, Atlanta Area Council, Troop 479, activity or trip leaders and coordinator(s), all employees, volunteers, or sponsors associated with the activity.
AUTHORIZATION AND CONSENT TO TREAT A MINOR
The undersigned does hereby authorize Rob Taylor, Ken Locke or such substitute as he/she may designate as agent for the undersigned to consent to any x-ray, examination, anesthetic, medical or surgical diagnosis or treatment and hospital care for the above minor which is deemed advisable by and to be rendered under the general or special supervision of any physician and surgeon, licensed under the provision of medical practice or any dentist licensed under the dental practice act, whether such diagnosis or treatment is rendered at the office of said physician or dentist, at a hospital, Scout Camp or elsewhere.
This authorization will remain effective while the above minor is enroute to or from or participating in the above noted activity.
Date	/	/	Parent or Guardian
During this event, the telephone number where I can be reached is
	or
If I cannot be contacted during an emergency, please contact
		at