Boy Scouts of America
			          Knox Trail Council                             
			  Troop 157, Weston, Massachusetts


			        Permission/Waiver Form



________________________________________ has my permission to go on the trip on 

_________________________________ to ________________________________________________
 
with members of Boy Scout Troop 157 of Weston, Massachusetts, and participate in 
all activities.  I acknowledge that I have read the following waiver in its entirety, 
that I understand it, and that I agree to be legally bound by its terms. 

I understand that the activities described for this trip carry the risk of personal 
injury. In consideration of the benefits to be derived, and in view of the fact that the 
Boy Scouts of America is a nonprofit, educational institution, membership in which is 
voluntary, and having full confidence that all reasonable precautions will be taken to 
insure the safety and well-being of my son on this activity, I agree to and support his 
participation, and I waive any and all claims against the leaders and their assistants 
on this trip, and the officers, agents, and representatives of the Boy Scouts of America. 

In case of emergency (and in the event that a parent/guardian cannot be reached) I give 
my permission for my child to be treated at the nearest medical facility. 


Parent/Guardian Signature:______________________________________________________________


Date:___________________ Telephone where I can be reached during outing:________________