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 ____________
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 email@example.com 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.