Permission Slip

PEOPLE IN CHARGE: Gary Cunningham, John McCarthy

ACTIVITY: Mawanjidiwin District Spring Camporee

TIME AND DATES:Friday-Sunday, May 16-18, 2003

WHERE: Bennett Park/Fairgrounds, Charlotte

PHONE: (emergency only!) 543-1050

MEET AT: Charlotte Christian Reformed Church, Friday, April 4, 6:30 p.m.

PICK UP: approximately 12:30 p.m. Sunday at Charlotte Christian Reformed Church

ON THIS OUTING WE WILL BE: camping in tents at Bennett Park/Fairgrounds in Charlotte. The theme of the camporee is Orienteering.

COSTS: $20.00 for meals and program

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 $20.00 IS DUE BY: Tuesday, May 13, 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).