For the Troop Four Camping Trip on January 3/4 at the Hopedale Parklands in Hopedale 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
Arrival Time on Saturday: 10AM (parish center)
Pickup Time on Sunday 11AM (parish center)
Permission Slip is due at the Dec 18 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 Dec 18th troop meeting.
For Adults Driving (needed for BSA tour permit):
Vehicle Make: _______________
Vehicle Model: _______________
Vehicle Year: ________________
Drivers License #______________
There is no fee required for this camping trip.