Permission Slip – Camping – January 2010

For the Troop Four Camping Trip on January 9-10 at Upton State Forest

_____________________________________ has my permission to attend the event as noted above and below. 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 ____________
Parents, please check as applicable

____ I plan to attend the event & can drive ____ scouts*

____ I won’t be attending, but can drive ___ scouts* to the event

____ I won’t be attending, but can drive ___ scouts* back from the event
* include your own scout in the count

Permission Slip is due at the Dev 17th Troop Meeting. Call or email Phil Bedard at 508-478-5773,, if your scout would like to attend the camping trip, but can not attend the Dec 17th troop meeting.
There is no fee for this camping trip.