THIS SHEET MUST BE GIVEN TO AN ADULT LEADER

VENTURER PROMISE: In return for permission to accompany Crew 14 on this outing, I promise to follow the Venturer Oath and Law with regard to my personal conduct, the health and safety of myself and other Venturers and guests, and the Boy Scouts of America approved camping practices. If during an outing I become unmanageable and refuse to follow the directions of an adult or senior Venturer, my parents will be called to pick me up NO MATTER WHAT TIME OF DAY OR NIGHT and I will not be permitted to attend further outings until I, have met with the Troop Committee.

SIGNATURE OF VENTURER: __________________________________ DATE: _________________

EVENT:_______________________________________________________________________

I will be riding in _________________________________'s car to and from the event.

____ This is an overnight camping event and I will be sleeping in _____________'s tent.

PARENT PERMISSION: Venturer ____________________________ has my/our permission to go on this outing scheduled for __________________. The above Venturer is deemed in good physical condition unless otherwise noted below. Adult leaders, all over 21 years of age, will supervise all activities associated with this trip. In case of illness or accident in the course of such activity, I request that measures be instituted immediately as the judgment of medical personnel dictates.

ALLERGIES, MEDICATIONS, OR PHYSICAL LIMITATIONS ________________________________

IN CASE OF EMERGENCY, NOTIFY: ___________________________ PHONE: _____________

Total number of people in family attending: _______________

We will be driving, total number of seatbelts in car: ____

SIGNATURE OF PARENT: ____________________________________ DATE: ________________