Permission Slip – February 2014

For the Troop Four Winter Camping Trip on February 8 and 9 at Mr. Lanciano’s Winter Cabin in Alexandria NH.

_____________________________________ 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 as applicable

____ I plan to attend the event & can drive ____ scouts*

____ I won’t be attending, but can drive ___ scouts* to the event

____ I won’t be attending, but can drive ___ scouts* back from the event

* include your own scout in the count

Permission Slip is due at the February 6th Troop Meeting. Call or email Ron Gorham at 508-868-8793, rgorham29@gmail.com if your scout would like to attend the camping trip, but can not attend the February 6th troop meeting.

There is no fee for this camping trip.