| Permission Slip |
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| 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: John D. McCarthy and Joe Walsh |
| ACTIVITY: C. Paul Letts Memorial Thank You Weekend |
| TIME AND DATES: Friday, September 16 thru Sunday, September 18, 2005 |
| WHERE:
Northwoods Scout Reservation |
| PHONE: 989-473-2305
Northwoods Scout Reservation |
| MEET AT: Scoutmaster's home,
4:30 p.m., Friday, September 16, 2005 |
| PICK UP: Scoutmaster's home,
2:30 p.m., Sunday, September 18, 2005 |
| ON THIS OUTING WE WILL BE: camping on Friday and Saturday night, and participating in
activities on Saturday. The program includes rifle and shotgun shooting, archery, canoeing, row boating,
fishing, hiking, and an evening campfire. We will be camping at
Northwoods Scout Reservation |
| COSTS: $25.00 |
| SPECIAL INSTRUCTIONS: Wear your Boy Scout shirt. Dress according to
the weather. Bring a sack lunch for the trip to our campsite on Friday evening.
Bring swimming gear, fishing gear, and 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 $25.00 IS DUE BY:
TUESDAY, SEPTEMBER 13, 2005 |
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