For the Troop Four Camping Trip on October 25/26 at the Federated Women’s Club State Forest in Petersham, MA.
_____________________________________ has my permission to attend the event as noted above. If I can not be reached in a medical emergency, I authorize the Adult Leaders to obtain the appropriate medical care, at my expense, if necessary.
During the event I can be reached at the following telephone # ______________
If I can not be reached, please contact __________________________
at this telephone #______________________ Relationship to scout __________
Signed _____________________________________ Date ____________
I would like to (please circle) drive to the event and take ____ scouts
drive from the event and take ____ scouts
drive & attend and take ____ scouts
Permission Slip is due at the Oct 16 troop meeting. Campout planning is based on forms received at the beginning of this troop meeting. Call Phil Bedard at 508-282-0283 if your scout would like to attend the camping trip, but can not attend the Oct 16 troop meeting.
For Adults Driving (needed for BSA tour permit):
Vehicle Make: _______________
Vehicle Model: _______________
Vehicle Year: ________________
Drivers License #______________
To off set the cost of the state forest campsites, the troop is charging a nominal fee of $5 per scout. Please submit this fee when turning in your permission slip. A check payable to Troop 4 is the preferred payment method (staple to this form) so we can easily track payments received. Thanks.