Permission Slip

PEOPLE IN CHARGE: John D. McCarthy, Joe Walsh

ACTIVITY: Holt Area Bottle Drive

TIME AND DATES:Saturday, February 26, 2005

WHERE: Holt Area

PHONE: (517) 699-8179

MEET AT: 10:00 a.m. Saturday at Olivet Baptist Church

PICK UP: approximately 4:00 p.m. Saturday at Olivet Baptist Church

ON THIS OUTING WE WILL BE: collecting bottles and cans from local residents for recycling. We plan to canvass neighborhoods in the Holt Area from 10:00 a.m. to 12:00 noon, at which time we plan to return our bottles to a recycling center (e.g. Meijer's) and have a sack lunch. After lunch, we plan to again canvass neighborhoods in the Holt Area from 1:00 p.m. to 3:00 p.m., at which time we plan to return our bottles to a recycling center and return to Olivet Baptist Church by 4:00 p.m..

COSTS: no fees will be charged.

SPECIAL INSTRUCTIONS: Wear your Boy Scout shirt, if you have one. Dress according to the weather. Prepare for cold weather. We will be outside for at least a couple of hours collecting bottles and cans.

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

THIS PERMISSION SLIP IS DUE BY: Tuesday, February 15, 2005

" -------------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).