CAMPING PERMISSION SLIP
TROOP 370
LOCATION OF CAMPOUT WILD RIVER STATE PARK
PERMISSION SLIP DUE DATE MONDAY, JAN 9, 2012
DATE & TIME OF DEPARTURE FROM PAX FRI, JAN 20, 5:30PM
DATE & TIME OF RETURN TO PAX SUN, JAN 22, 12:30PM
The boys will be doing patrol cooking on this campout. Please submit $15.00 cash with this slip
Keep top portion, return the bottom
_________________ HAS MY PERCISSION TO GO ON THE CAMPOUT AND HAS MY PERCISSION TO BE TREATED BY A DOCTOR IN CASE OF EMERGENCY.
EMERGENCY # WHERE PARENTS CAN BE REACHED_______________________
YES NO
____ ____ IS SCOUT ON ANY MEDICATIONS? IF SO, WHAT?__________________________
____ ____ DOES SCOUT HAVE ANY ALLERGIES? IF SO, WHAT?_______________________
IS SCOUT RESTRICTED TO ANY ACTIVITIES AT TIME OF THE CAMPOUT? IF
____ ____ SO, WHAT ARE THE RESTRICTIONS?______________________________________
____ ____ I AM WILLING TO BE AN ADULT LEADER FOR THE ENTIRE TRIP.
____ ____ I AM WILLING TO BE AN ADULT LEADER FOR ONE NIGHT.
____ ____ I AM WILLING TO DRIVE THE SCOUTS TO____OR FROM____THE CAMPOUT?
____ ____ I AM WILLING TO PULL THE TRAILER TO____ OR FROM THE CAMPOUT?
_________ HOW MANY SCOUTS INCLUDING YOUR SON(S) ARE ABLE TO RIDE IN YOUR CAR? (ALL SCOUTS MUST WEAR SEATBELT)
THIS PERMISSION SLIP IS FOR THE WILD RIVER STATE PARK CAMPOUT
FROM FRIDAY, JAN 20, 2012 TO SUNDAY, JAN 22, 2012
________________________________________
PARENTS SIGNATURE
| < Prev | Next > |
|---|
