| Permission Slip |
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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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| PEOPLE IN CHARGE: Steven McCarthy___________________________________________ |
| ACTIVITY: Optimist Youth Camp -
Eaton Rapids Rifle Range |
| TIME AND DATES:Friday-Sunday, April 21-23, 2006 |
| WHERE: Optimist Youth Camp,
just west of the corner of Kinsel and Wheaton Rds., north of Charlotte, and west of Hwy. M-50 |
| PHONE: (emergency only!) 517.543.7903 for the caretaker of the camp. |
| MEET AT: 5:30 p.m. Friday at Scoutmaster's home |
| PICK UP: approximately 1:00 p.m. Sunday at Scoutmaster's home |
| ON THIS OUTING WE WILL BE: camping in a rustic cabin
(bunk beds- no mattresses) at the
Optimist Youth Camp
on Friday and Saturday nights, and practicing rifle shooting skills at the
Family Shooters Corral
in Eaton Rapids on Saturday. |
| COSTS: $20.00 |
| 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 IS DUE BY:
Tuesday, April 4, 2006 |