Troop 770 Medical and Permission Form Generator:

Complete the fields, including the optional second date for a multi-day event, and then click the Create button at the bottom of the page. The new consent form will be published to the Forms and Documents page automatically.

Consent and Authorization for Medical Treatment

I ________________________ as parent and/or guardian of - _____________________ hereby authorize and consent to allow Alan McEmber, Alan Page, Brian Merrick, Chris Locke, Mike Ryan, or Mike Burton to obtain medical care from any licensed physician, hospital or other medical care provider for my son ___________________ for any injury or other medical problem that could arise from participation in the Troop 770

on , ,

(to , , )

at

in .

Password: (Hint: Our meeting room is known as "The ______ Place")