Permission Slip

PEOPLE IN CHARGE: John D. McCarthy, Joe Walsh

ACTIVITY: Fenner Nature Center Outing

TIME AND DATES: Friday, November 5 thru Saturday, November 6, 2004

WHERE: Fenner Nature Center

PHONE: (517) 483-4224 (Fenner)

MEET AT: 5:30 p.m. Friday at Fenner Nature Center

PICK UP: approximately 4:30 p.m. Saturday at Olivet Baptist Church

ON THIS OUTING WE WILL BE: The main activities will be camping on Friday night and working on camping skills on Saturday. We will be camping at Fenner Nature Center.

COSTS: $7.50 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 $7.50 IS DUE BY: Tuesday, October 19, 2004

" -------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).