For the Troop Four Camping Trip on October 20-21 to the Tulley Trail in Royalston Massachusetts

_____________________________________ 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.

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 am unavailable to drive and attend this trip

Permission Slip is due at the Oct 4th troop meeting. Call Ron Gorham at 508-868-8793 if your scout would like to attend the camping trip, but can’t attend the Oct 4th 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)