PERMISSION SLIP
SAN ANTONIO AREA COUNCIL
OF GIRL SCOUTS, INC

10443 Gulfdale P.O. Box 790339
San Antonio, TX 78279-0339
PLEASE KEEP THIS HALF FOR YOUR INFORMATION
Dear Troop 513,
We want you to know about an activity your troop's Mascot is planning which will occur away from the regular meeting place and we need your permission.
Troop 513 will be sending Skip around the country to visit our Sister Girl Scouts.
Mode of transportation: US Postal Service Priority Mail with Delivery Confirmation.
Time and place of departure: Skip will leave Live Oak, Texas on Monday 9-28-98
Time and place of return: Skip will return to the Troop in May 1999
Adults accompanying the Mascot: Leaders of Troops 2291, 435, 3054, 32, and 498.
Other equipment and clothing: Skip's traveling with his Journal, Photo Album, Hat, GS Blanket with pin and his Buddy Brownie. He is also traveling with a picture guidebook and 3-D map of San Antonio.

TROOP 513 CONTACT PERSON:
Name: Janice Lapham Troop Mascot Mom e-mail - Troop513@email.com
Phone: 555-1234
Please e-mail Troop 513 at Troop513@email.com when Skip arrives and when he departs. Keep this permission slip in Skip's Journal. We have a copy on file in the Troop and with our Service Unit.

-----RETURN THIS HALF TO LEADER-----

Our Mascot Desmond "Skip" Odie Howling has our permission to participate with Girl Scout Troops in Any and all Troop Activities. He is in good physical condition and has not had any serious illness or operation since his last Health Examination. I understand that the activity will be carried out in keeping with the Health and Safety Practices and Standards of Girl Scouts of the U.S.A. Should any accident or illness occur to him on the trip, I shall not hold the leader of the troop, her agents or the Girl Scouts Council she is affiliated with responsible and I authorize the leader to obtain services of a Medical Doctor, if necessary. The troops have our permission to use photos or videotapes in which our Mascot appears for publicity purpose. Yes X No __
During these activity we may be reached at troop513@email.com Phone 555-1234

If our Mascot Mom cannot be reached, please try Beverly Kay at beverly@email.com
Date 09 July 1998 Mascot Mom's Signature Janice Lapham
Note: In addition to this form, a medical history for the current year is on file with the Home Troop for sports, horseback riding, skating, hiking, non-contact sports such as tennis or gymnastics and other such physically demanding activities.