Permision Slip – Troop Hike – March

Troop Four Permission Slip
For the Troop Four day hike at Mount Wachusett on March 20th, 2010

_____________________________________ 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 ____________

Parent Drivers:
I will (please check) ___ not be attending

___ drive to the event, but can’t stay

___ drive back from the event, but can’t stay

___ attend and drive to/from the event

Permission Slip is due at no later than the March 11th troop meeting. Call Phil Bedard at 508-561-7058 if your scout would like to attend the day hike trip, but can’t attend the March 11th troop meeting.

For Adults Driving (this information is needed to apply for BSA tour permit):

Vehicle Make: _______________

Vehicle Model: _______________

Vehicle Year: ________________

Drivers License #______________ Required for first time troop drivers only. Note that this is the license number, not plate number.

There is no fee required for this hiking trip.