Common Contracts
1 similar Guardian Agreement contracts
Destination(s) Describe your Activity Activity Start Date Activity End Date Cost Transportation Type Lead Adult in Charge Lead Adult PhoneGuardian Agreement • October 7th, 2022
The minor listed above is in good physical condition at present and has had no serious injuries/illness/operations since lasthealth exam. The minor will NOT attend if she is not feeling well. I give consent for emergency medical or dental care to be rendered by a licensed healthcare provider/dentist, if unable toreach family physician and/or dentist. I give consent for above minor to be photographed/recorded and the images may be used by the troop/group and GSSI forpromotional/marketing purposes. I give permission for the above minor to ride in private vehicles, airplane, tour bus, and other modes of transportation asdeemed necessary by the adult in charge. I understand adult volunteer and GSSI are not responsible for loss of valuables. I give permission for the First Aider to dispense medications (prescribed and/or over-the-counter) that have been providedby me in its original container in the dosage as it is listed. I understand the minor above must abide by the Code of
