Permission Slip

PEOPLE IN CHARGE: Gary Cunningham, Larry Francis, and John D. McCarthy

ACTIVITY: Boundary Waters Outing

TIME AND DATES: Thursday, July 31 thru Thursday, August 7, 2003

WHERE: Boundary Waters, Northern Minnesota

PHONE: Voyageur North Outfitters, Ely, Minnesota, (218) 365-3251

MEET AT: 7:00 a.m., Thursday, July 31 at Scoutmaster's home

PICK UP: 8:00 p.m., Thursday, August 7 at Scoutmaster's home

ON THIS OUTING WE WILL BE: camping and canoeing in the Boundary Waters from Saturday morning, August 2 to Wednesday morning, August 6.

COSTS: $200.00 (approx.)

SPECIAL INSTRUCTIONS: Wear your Boy Scout shirt, if you have one. Dress according to the weather.

EACH PERSON WILL BE RESPONSIBLE FOR BRINGING THEIR OWN PERSONAL GEAR AND FOR TAKING CARE OF IT PROPERLY.

THIS PERMISSION SLIP AND THE TOTAL FEE OF $200.00 IS DUE BY: Tuesday, July 29, 2003

" -------Cut--------keep top portion---------return bottom portion--------cut---------- "

I GIVE PERMISSION FOR MY SON TO JOIN TROOP 272 ON THE FOLLOWING ACTIVITY: ___________________________________________

ON THIS DATE: ____________________________________________________

SIGNATURE OF PARENT OR GUARDIAN: ____________________________

I, ________________________________________________ (print scout’s name)

PROMISE TO OBEY THE SCOUT OATH, LAW AND OUTDOOR CODE.

SCOUT'S SIGNATURE: ____________________________________________

IN AN EMERGENCY, (name) _______________________________________

CAN BE REACHED AT THIS PHONE NUMBER ______________________

In case of Emergency, I understand every effort will be made to contact me (if an adult, my spouse or next of kin). In the event I cannot be reached, I hereby give my permission to the physician selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child (or for me, if an adult).