For the Troop Four Camping Trip at our Milford Troop Campsite on June 25-27, 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 ____________

All Scouts and Adults:
I (we) will need to rent ___ canoe/kayak to accommodate ___ people

___ will bring a boat and coast guard approved personal flotation devices. Boat is a ___ person canoe/kayak (circle one)

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

Note that the drive from the parish center to the marina is about 90 minutes

Permission Slip is due at no later than the May 27th troop meeting. Call Phil Bedard at 508-561-7058 if your scout would like to attend the trip, but can’t attend the May 27th troop meeting.

IF RENTING A CANOE OR KAYAK - FEE (DUE 5/27) IS $60 PER PERSON. MAKE CHECK PAYABLE TO TROOP 4. IF NOT RENTING, THEN THERE IS NO CHARGE FOR THIS TRIP.
For Adults Driving (this information is needed to apply for BSA tour permit):

Vehicle Make: _______________

Vehicle Model: _______________

Vehicle Year: ________________

Drivers License #______________ (required only for first time troop drivers. Note that this is the driver’s license number, not plate number.

My vehicle has seat belts to accommodate ____ scouts, including my own scout