PERMISSION SLIP

PEOPLE IN CHARGE: Gary Cunningham and John D. McCarthy

ACTIVITY: Preparation for Troop Open House

TIME AND DATES: Friday, October 17 thru Saturday, October 18, 2003

WHERE: Olivet Baptist Church

PHONE: (517) 887-0988

MEET AT: Olivet Baptist Church, 6:30 p.m., Friday, October 17, 2003

PICK UP AT: Olivet Baptist Church, 1:00 p.m., Saturday, October 18, 2003

ON THIS OUTING: The main activities will be camping on Friday night and preparing for the Troop Open House at Olivet Baptist Church on Tuesday evening, November 18. We will be camping at Olivet Baptist Church.

COSTS: $6.25 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 $6.25 IS DUE BY: TUESDAY, OCTOBER 14, 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).