Permission Slip - April 17-19

TROOP 465 PERMISSION SLIP

Cooking Campout Scout Hut April 17-19, 2009
Arrive at Scout Hut Friday 17th 1830 hrs & Sunday Pick up will be 1000 hrs




BOY SCOUT’S NAME: ­­­­­­­­­­­­­­­­­­­­­­­­­­­__________________________________________________

PARENTS/OTHER FAMILY MEMBERS ATTENDING: _______________________


Leader-in-charge---
Scout-in-charge---


-------------------------KEEP TOP HALF FOR YOUR REVIEW/RECORDS---------------
RETURN BOTTOM HALF TO LEADER-IN-CHARGE

ACTIVITY:




BOY SCOUT’S NAME: _____________________________________________

AS PARENT OR LEGAL GUARDIAN OF THE ABOVE NAME BOY SCOUT, I CERTIFY THAT SAID BOY SCOUT HAS MY PERMISSION TO ATTEND AND PARTICIPATE IN THIS ACTIVITY. ADDITIONALLY, I GIVE MY PERMISSION TO THE LEADERS IN CHARGE TO RENDER REQUIRED FIRST AID AND/OR THE PHYSICIAN SELECTED TO GIVE NECESSARY MEDICAL TREATMENT AS NEEDED SHOULD THE NEED ARISE.


SIGNED: _______________________________________ DATE: ______________


Contact Person/Phone*: ___________________________________________


Secondary Phone*: __________________________ Parent Attending: _____

Emergency Contact/Phone: _______________________________________