Troop Four Permission Slip
For the Troop Four backpacking trip to Royalston MA on April 10-11, 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 ____________
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
Note: the drive is about 1.25 hours (70 miles)
Permission Slip is due at no later than the March 25th troop meeting. Call Phil Bedard at 508-561-7058 if your scout would like to attend the trip, but can’t attend the March 25th 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 driver’s license number, not plate number.
My vehicle has seat belts to accommodate ____ passengers, excluding the driver.
There is no fee required for this backpacking trip.