Minor Name DOB / /Guardian Agreement • August 21st, 2020
Contract Type FiledAugust 21st, 2020EVENT/TRAVEL DETAILS Event/Travel Type Dates Cost $ Location(s) Traveling by _ GUARDIAN AGREEMENT By initialing the lines below, the parent/guardian verifies she/he has read, understands, and agrees to the following: The minor listed above is in good physical condition at present and has had no serious injuries/illness/operations since last health 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 to reach 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 for promotional/marketing purposes. I give permission for the above minor to ride in private vehicles, airplane, tour bus, and other modes of transportation as deemed 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