Permission Slip

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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PEOPLE IN CHARGE: John McCarthy and Gary Cunningham

ACTIVITY: Ojibwas District Fall Camporee

TIME AND DATES: Friday-Sunday, October 13-15, 2006

WHERE: Meridian Historical Village, 5151 Marsh Road, Okemos, MI. Adjacent to the Nokomis Learning Center. Located in Meridian Township's Central Park.

PHONE: (Meridian Historical Village) (517) 853-4600

MEET AT: Olivet Baptist Church, Friday, October 13, 5:00 p.m.

PICK UP: Olivet Baptist Church, Sunday, October 15, 12:00 noon

ON THIS OUTING WE WILL BE: camping in tents at Meridian Historical Village in Okemos on Friday and Saturday night, and participating in camporee activities on Saturday.

COSTS: $25.00

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 $25.00 IS DUE BY TUESDAY, OCTOBER 3, 2006.