Permission Slip

PEOPLE IN CHARGE: Gary Cunningham, Joe Walsh

ACTIVITY: Lugnuts Game

TIME AND DATES:Friday, June 3, 2005

WHERE: Oldsmobile Park, 505 East Michigan Avenue, Lansing, MI 48912

PHONE: Hotline: 372-7023; Lansing Lugnuts: 485-4500

MEET AT: Olivet Baptist Church, Friday, June 3, 6:00 p.m.

PICK UP: approximately 10:30 p.m. Friday, June 3 at Olivet Baptist Church

ON THIS OUTING WE WILL BE: watching the Lugnuts vs. Clinton baseball game from the Oldsmobile Suite at Oldsmobile Park in Lansing. The game starts at 7:05 PM. LAFCU Fireworks are scheduled for this event.

COSTS: tickets provided by General Motors

SPECIAL INSTRUCTIONS: 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 IS DUE BY: Tuesday, May 17, 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).