Permission Slip

PEOPLE IN CHARGE: John McCarthy, Joe Walsh

ACTIVITY: Yankee Springs Orienteering Outing

TIME AND DATES:Friday-Sunday, April 1-3, 2005

WHERE: Yankee Springs Recreation Area, 2104 S Briggs Road, Middleville, Michigan 49333

PHONE: (emergency only!) 269-795-9081

MEET AT: Olivet Baptist Church, Friday, April 1, 6:00 p.m.

PICK UP: approximately 10:00 a.m. Sunday at Olivet Baptist Church

ON THIS OUTING WE WILL BE: camping in tents at the Organizational Campground at Yankee Springs Recreation Area (bring warm winter clothing); conducting a five-mile hike with a one-mile orienteering course.

COSTS: $18.00 for transportation, meals, and lodging

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 AND THE TOTAL FEE OF $18.00 IS DUE BY: Tuesday, March 15, 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).