| Permission Slip |
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| PEOPLE IN CHARGE: John McCarthy, Joe Walsh |
| ACTIVITY: Mawanjidiwin District Spring Camporee 2005 |
| TIME AND DATES:Friday-Sunday, May 20-22, 2005 |
| WHERE: Camp Kiwanis,
676 W Dansville Road, Mason, Michigan 48854 |
| PHONE: (emergency only!) (517) 676-6101 (Camp Ranger) |
| MEET AT: Scoutmaster's home, Friday, May 20, 6:30 p.m. |
| PICK UP: approximately 1:00 p.m. Sunday at Scoutmaster's home |
| ON THIS OUTING WE WILL BE: camping in tents at Camp Kiwanis in Mason on Friday and Saturday night, and
participating in camporee activities on Saturday. We will be representing the country of Ireland by displaying the flag
of Ireland, conducting a game from Ireland, and serving a meal from Ireland. |
| COSTS: $20.00 for meals and program |
| SPECIAL INSTRUCTIONS: Wear your Boy Scout shirt, if you have one. 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 AND THE TOTAL FEE OF $20.00 IS DUE BY:
Tuesday, May 17, 2005 |
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-------Cut--------keep top portion---------return bottom portion--------cut----------
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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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