Permission Slip

PEOPLE IN CHARGE: John McCarthy, Joe Walsh

ACTIVITY: Scouting for Food Drive

TIME AND DATES:Saturday, April 16, 2005

WHERE: Holt Area

PHONE: (emergency only!) 517-699-8179

MEET AT: Olivet Baptist Church, Saturday, April 16, 11:00 a.m.

PICK UP: approximately 3:00 p.m. Saturday at Olivet Baptist Church

ON THIS OUTING WE WILL BE: collecting food for the Scouting for Food drive from 11:00 p.m. until 2:00 p.m.. All the food which we collect at this time will be brought to the Holt Community Food Bank, 2021 N. Aurelius Road, Holt, MI, 517-694-9307.

SPECIAL INSTRUCTIONS: Wear your Boy Scout shirt, if you have one. Dress according to the weather. Prepare for cold 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, April 12, 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).