GIRL SCOUT COUNCIL OF THE NATION'S CAPITAL
MULTIPLE ACTIVITY PARENTAL PERMISSION FORM
Troop # 3113 Troop Leader: ___________________Leader's Phone Number:______________________
I am the parent/guardian of ________________ _________, and give my permission for her to participate in the following troop activities: (please X out the events you will not be attending)
1. LODGE
Date: November 2nd and 3rd Arrival time: 2:00 Place: Leaders house
Return Time: 11:00 SUNDAY Place:
Cost: $0.00 Transportation: Carpool
Each child should bring: Listed items for the event
2.Masquerade Ball
Date November 22nd Arrival time: 5:30-6:00 PM Place: School
Return Time: finished around 9 Place: school
Cost: none Transportation: You provide transportation to the the event
Each child should bring:
3. Christmas Potluck
Date: December 11th Arrival time: 5:45-6:00 Place: Virginia Run Community Center
Return Time: 7:30 PM Place: Virginia Run Community Center
Cost Dish preparation Transportation: You provide transportation to the the event
Each child should bring: dish parent signed up for
Family Emergency Contact_____________________________________ Phone:_____________________ I understand that these activities are not considered high risk activities. I also understand that all activities will be conducted in accordance with Girl Scouts of the USA and Girl Scout Council of the Nation's Capital guidelines regarding safety and adult supervision. I will be responsible for ensuring that my child brings the required equipment; pays any required fees; and attends only if she is in good physical condition.
I give special permission and/or instructions for the following medication _________________________________________, which will be properly labeled and given to the adult First Aider. I give my permission for my child to be photographed and allow GSCNC to release said pictures for publicity purposes.
Signature of Parent/Guardian___________________________________________ Date: __________________ Memb.10/97