For the Troop Four Camping Trip on January 21-22 at Upton’s Peppercorn Forest
_____________________________________ has my permission to attend the event as noted above and below. 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. There is no cost for this trip.
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 ____________
Parents, please check one:
____ I am available to drive & participate & can take ____ scouts
____ I’m not available to participate, but can drive there & take ___ scouts
____ I’m not available to participate, but can drive back & take ___ scouts
Permission Slip is due at the Jan 12 troop meeting. Call Phil Bedard at 508-561-7058 if your scout would like to attend the camping trip, but can’t attend the Jan 12 meeting to sign up.
For Adults Driving (needed for BSA tour permit):
Vehicle Make: _______________
Vehicle Model: _______________
Vehicle Year: ________________
Drivers License #______________ (drivers license number, not license plate number)