Troop NC 4125 2022-2023
Troop and Unit Meeting Parent Permission Slip and Healthy & Safety Form

Our Troop Policy Handbook for the 2022-2023 Year is located at:
**Please review it in detail and save a copy before completing this permission slip.  You may want to print it, so that you can refer back to it easily when you have questions.**

Policy Handbook

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 13, 2022- May 23 , 2023.  
 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

In the event we need a High Adventure Form filled out, you can download the form here:
 
AHG_High Adventure Activity Medical Form_Portrait (2).pdf
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Email *
I have read the AHG Troop NC4125 2022-23 policy handbook and agree that both I and my child will adhere to troop policies including the code of conduct.  I will do my best to keep up with troop communication and if I have a need or concern, I will contact a Leader or Coordinator. I will encourage and help my daughter enjoy her time in AHG and do what I can to participate and help make this troop successful. * Please sign that you have read the policy handbook.  You may want to print it out so that you can refer back to it easily. *
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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