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: ___________________________________________

ACTIVITY: Northwoods Summer Resident Camp 2006

TIME AND DATES: Sunday, July 16 thru Saturday, July 22, 2006

WHERE: Northwoods Scout Reservation, 3552 Lakeshore Drive, Lupton, Michigan 48635

PHONE: 999-473-2305 Fax 989-473-4601

MEET AT: Olivet Baptist Church, 12:00 noon, Sunday, July 16, 2006

PICK UP: Olivet Baptist Church, 3:30 p.m., Saturday, July 22, 2006

ON THIS OUTING WE WILL BE: camping at Northwoods Scout Reservation on Sunday through Friday night, and participating in merit badge classes and summer recreational activities on Monday through Friday.

TOTAL COST: $225.00 ($10.00 discount if fees paid on time as indicated below)

Deposit $75.00 - due March 21, 2006

Final Payment of $140.00 - due May 16, 2006

Final Payment of $150.00 will be required if paid after May 16, 2006.

SPECIAL INSTRUCTIONS: Wear your Boy Scout shirt, if you have one. Dress according to the weather. Bring a sack lunch for the trip to Northwoods Scout Reservation on Sunday and some spending money for lunch on the way home on Saturday. Bring appropriate gear. For recommended and optional items see the Camper Equipment Checklist and the Troop Equipment Checklist.

EACH PERSON WILL BE RESPONSIBLE FOR BRINGING THEIR OWN PERSONAL GEAR AND FOR TAKING CARE OF IT PROPERLY.

THIS PERMISSION SLIP AND THE DEPOSIT OF $75.00 IS DUE BY TUESDAY, MARCH 21, 2006. THE FINAL PAYMENT OF $140.00 IS DUE BY MAY 16, 2006. A FINAL PAYMENT OF $150.00 WILL BE REQUIRED IF PAID AFTER MAY 16, 2006