SCOUT TROOP 85 PARENT PERMISSION & MEDICAL RELEASE FORM
I hereby give my permission for _______________________________________ to (Scout’s name) participate in the Columbus Clippers Dime-A-Dog Night, on August 22, 2011. I will not hold the St. Paul parish, the Boy Scouts of America, or any of the leaders or accompanying adults of Troop 85 responsible for any injury, loss or damage incurred during, or as a result of, the Scouting activities of Troop 85. In the event of illness or injury occurring to my son while involved in this activity, and following reasonable attempts to contact me at __________________ or _________________, I hereby give (phone) (phone) my consent for (1) the administration of any treatment deemed necessary by a licensed physician or dentist and (2) the transfer of my son to any reasonably accessible hospital. This authorization does not cover major surgery unless the medical opinions of two other physicians or dentists, concurring in the necessity for such surgery, are obtained before surgery is performed. Following are facts concerning my son’s medical history including: allergies (insects,foods, iodine, latex,etc.), drug interactions, all current medications and any physical impairments to which a physician/aid provider should be alerted. ______________________________________________________________________________________ ______________________________________________________________________________________ Unless specifically requested to the contrary on Scout’s current medical form and in the above space, non-prescription medication(s) (such as: Aleve, Tylenol, Sudafed, Benadryl) will be administered, per the instructions on the label, to a Scout that may become sick while on this activity. Also, basic first aid will be administered.
________ __________________________________________ (signature of parent or guardian) (Tear Off) (Tear Off) PARENT’S INFORMATION SHEET Activity/Event DIME – A- DOG Location: Huntington Park, Columbus Fee : --- $10 Dates: August 22, 2011 Drop Off Time: 5:30 PM Pickup Time: 10:30 PM Will call 20 minutes out. Drop-off/Pick-up Location: SCOUT SHED/Bus Mr. Hart’s Cell – 614-565-0165
MEDICATION SCHEDULE FOR ______________________________________ Boy Scout Troop 85 I grant permission for Tom Hart at the HOLY ROSARY COMMUNITY KITCHEN on Nov 7, 2009 to dispense the following prescription and/or non-prescription medications to the above named scout. Typical non-prescription (such as Aleve, Tylenol, Dramaine, Benadryl) will be dispensed unless note below. Medication is to be dispensed in accordance with the following schedule:
Morning: __________________________________________________________ Lunchtime: ________________________________________________________ Dinnertime: ________________________________________________________ Bedtime (other):_____________________________________________________ Medications to be on person (Epi-pen, insulin) _____________________________
Special Instructions, Drug interactions or Notes:_____________________________________ ____________________________________________________________________________ Signed: _____________________________ Date:_____________________ Print Name: ___________________________ ALL MEDICATIONS MUST BE IN ORIGINAL CONTAINERS WITH SCOUT/ADULT’S NAME, SCHEDULE AND DOSAGE INDICATED. ALL MEDICATIONS MUST BE IN A ZIPLOCKED BAG WITH SCOUT/ADULT’S NAME MARKED WITH “MAGIC MARKER”
Trouble with biocitizenship: duties, responsibilities, and identity. Abstract Genetic and other biotechnology is starting to impact significantly upon society and on individuals within it. Rose and Novas expound a broadly sketched notion of biocitizenship as a device for articulating a way that the empowered and informed patient, group or network can engage with bioscience, drawing on exam
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