For the Troop Four Camping Trip on November 22/23 at the Troop 4 Campsite in Milford 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 Nov 13 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 #______________

Please attach a check payable to Troop 4 or cash (in labeled envelope) for $10 to offset the cost of the turkey roast dinner, and troop breakfast.  Scouts will not need to bring groceries to this event.