Permission Slip – Camping Trip – April 2011

Troop Four Permission Slip
For the Troop Four camping trip to Mount Monadnock State Park in Jaffrey NH on April 9th – 10th, 2011

_____________________________________ 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

___ attend and drive to/from the event

Permission Slip is due at no later than the start of the March 31st troop meeting. Call Phil Bedard before March 31st at 508-561-7058 or if your scout would like to attend the day hike trip, but can’t turn in this form at the start of the March 31st troop meeting.

For Adults Driving (this information is needed for us 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.

There is a nominal $5 fee per person to offset the cost of the state park campground fee.  Please make check payable to Troop 4 and attach the check to the permission slip.  If cash, please be sure it is in an envelope with your scout’s name on it.