| Permission Slip |
 |
| 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). |
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| PEOPLE IN CHARGE: Gary Cunningham, John D. McCarthy, and Joe Walsh |
| ACTIVITY: Lake Michigan Outing |
| TIME AND DATES: Friday, August 19 thru Sunday, August 21, 2005 |
| WHERE:
P. J. Hoffmaster State Park, 6585 Lake Harbor Rd., Muskegon, MI 49441 |
| PHONE: 231-798-3711
(
P. J. Hoffmaster State Park) |
| MEET AT: Scoutmaster's home,
4:30 p.m., Friday, August 19, 2005 |
| PICK UP: Scoutmaster's home,
2:30 p.m., Sunday, August 21, 2005 |
| ON THIS OUTING WE WILL BE: camping on Friday and Saturday night, and swimming
and hiking on Saturday. We will be camping at the organizational campground at
P. J. Hoffmaster State Park. |
| INFORMATION FOR SUNDAY WORSHIP SERVICE: 10:00 a.m.,
Unity Reformed Church, 1521 Porter Rd.,
Muskegon, MI, (231) 798-2476 |
| COSTS: $20.00 |
| SPECIAL INSTRUCTIONS: Wear your Boy Scout shirt, if you have one. Dress according to
the weather. Bring a sack lunch for the trip to our campsite on Friday evening.
Bring swimming gear. Bring a compass. |
| 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, AUGUST 16, 2005 |
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