Permission Slip

PEOPLE IN CHARGE: Cathy McCarthy, Donna Cunningham

ACTIVITY: Wal-Mart Fundraiser

TIME AND DATES: Friday, June 24, 2005

WHERE: the Wal-Mart off of West Saginaw in Lansing

PHONE: (517) 622-1431 (Wal-Mart)

LOCATION OF FUNDRAISING EVENT: Wal-Mart, 409 N. Marketplace Blvd., (off of West Saginaw), Lansing, MI 48917

MEET AT: 12:30 p.m. Friday at McCarthy residence

PICK UP: 5:30 p.m. Friday at McCarthy residence

ON THIS OUTING WE WILL BE: conducting a car-wash fundraiser at the Wal-Mart off of West Saginaw in Lansing.

COSTS: There is no cost for this event.

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 IS DUE BY: Tuesday, June 21, 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).