Permission Slip:
By entering the information below, the below-named Girl Scout/child/person has my permission to participate in the Space Science Overnight, Nov 3-4, 2018. She/he is in good physical condition and has not had any serious illness or surgery since her/his last health examination. I give my permission for my daughter/son/ward to receive emergency medical or surgical treatment and to be hospitalized if necessary. It is understood that every attempt will be made to contact me, or another emergency contact person listed on her Annual Permission Form or Health History form, before taking this action. During the activity I can be reached at the address and phone number listed under Emergency Contact below. If I cannot be reached, the back-up emergency contact person listed on the Annual Permission or Health History form is authorized to act on my behalf
