Troop NC 4125 2020-2021
Troop and Unit Meeting Parent Permission Slip and Healthy & Safety Form

Our Troop Policy Handbook for the 2020 Semester is located at: (Please note that policies may change according to new State mandates, at any given time and will be dated on the document)
https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:d0ff49ce-4d6e-459d-88c7-14aca1322c79

**Please review it in detail and save a copy before completing this permission slip**

If you have more than one daughter, please fill out one form for each girl.

Permission Slip Language:
Troop NC4125
Activity Information: All unit, troop meetings, and special events held during regular meeting times, on Tuesdays from 6:30-8:00. For all dates from September 15, 2020- May 31, 2021.
Activities include activities encompassing all 6 program emphases.
Emergency contacts are listed below.
Coordinator: Christy Hiatt- 336-749-4120 Vice- Coordinator: Kathy Henson 336-509-4333
My daughter can be released to the people listed below.

In the event we need a High Adventure Form filled out, you can download the form here: https://ahg-connect-production.s3.amazonaws.com/uploads/document/file/1588/High_Adventure_Medical_Form.pdf?X-Amz-Expires=600000&X-Amz-Date=20200810T161655Z&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=AKIAIYGBXSS2KY37OQKA/20200810/us-east-1/s3/aws4_request&X-Amz-SignedHeaders=host&X-Amz-Signature=b4574651e3ef586dc319f2dc36cd85f777aeabc5b2c0d222ec16ad7c48b2f57d

Email *
I have read the AHG Troop NC4125 2020-21 policy handbook and agree that both I and my child will adhere to troop policies including the code of conduct. * *
Girl Member Name and Birth date *
Address *
Parent Name and Phone Number *
Second Parent Name and Phone Number *
If I cannot be reached, please contact: Emergency Contact(s) Name and Phone number *
My daughter has my permission to stay for meetings and activities. In addition, she can carpool to activities with whoever I send her. She may carpool home from activities with the person(s) I list below. If there is any specific individual who may not pick up your daughter, please e-mail christyhiattahg@yahoo.com *
As the parent/guardian, I authorize my daughter to participate in the above listed activities. Please type your full name. * *
An adult in my family has the following skills they'd like to share with the girls. (i.e. Christy - teach Aviation, Andrew - lead a backpacking trip, etc)
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