Camping and Bicycling Permission Slip, June 2013

For the Troop Cycling and Camping trip on June 28-30 at Nickerson State Park, Cape Cod in Brewster MA. The troop will have an opportunity to ride the “Cape Cod Rail Trail” with the goal of riding 25 miles or 50 miles while working toward the cycling merit badge.

_____________________________________ 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 ____________

Parent Drivers: (please check)
___ I will not be attending
___ I will attend and drive to/from the event

Permission Slip is due at no later than the May 30th troop meeting. Call Ron Gorham at 508-868-8793 if your scout would like to attend the day hike trip, but can’t attend the May 30th troop meeting.

For Adults Driving (this information is needed for us to apply for BSA tour permit):
Vehicle Make: _______________
Vehicle Model: _______________
Vehicle Year: ________________
Number of Seats ______________
Drivers License #______________ Required for first time troop drivers only. Note that this is the driver’s license number, not plate number.

There is no fee required for this trip.