Permission Slip

PEOPLE IN CHARGE: John D. McCarthy, Cathy McCarthy, Gary Cunningham, and Robert Hughes

ACTIVITY: Fenner Nature Center/ Walmart Fundraiser Outing

TIME AND DATES: Thursday, June 19 thru Saturday, June 21, 2003

WHERE: Fenner Nature Center

PHONE: (517) 483-4224 (Fenner) and (517) 622-1431

LOCATION OF FUNDRAISING EVENT: Walmart, 409 N. Marketplace Blvd., (off of West Saginaw), Lansing, MI 48917

MEET AT: 6:30 p.m. Thursday at McCarthy residence

PICK UP: approximately 12:30 p.m. Saturday at McCarthy residence

ON THIS OUTING WE WILL BE: The main activities will be camping on Thursday and Friday night and a fundraising event on Friday. We will be camping at Fenner Nature Center and conducting the fundraising event at the Walmart off of West Saginaw in Lansing.

COSTS: $12.50 for food

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 $12.50 IS DUE BY: Tuesday, June 17, 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).