Permission Slip – June 2009 Whitewater Trip

For the Troop Four White Water Camping Trip to Caratunk, ME on June 20th thru 22nd, 2009.

_____________________________________ 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 and attend the event. I can take ___ scouts

drive to the event. I can take ___ scouts

drive back from the event. I can take ___ scouts

The scoutmaster will tally up the scouts and the available transportation help, and contact you with transportation details.

Permission Slip is due at the June 4th troop meeting. Forward the form to Phil Bedard at pbedard1@gmail.com if your scout can not attend this troop meeting.

For Adults Driving (needed for BSA tour permit):

Vehicle Make: _______________

Vehicle Model: _______________

Vehicle Year: ________________

Drivers License #______________