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: Gary Cunningham and Joe Walsh

ACTIVITY: Service Project

TIME AND DATES: Tuesday, December 12, 2006

WHERE: neighborhood of Olivet Baptist Church

MEET AT: 7:00 p.m. Tuesday, December 12, Olivet Baptist Church

PICK UP: 8:30 p.m. Tuesday, December 12, Olivet Baptist Church

ON THIS OUTING WE WILL BE: shoveling snow and/or collecting food cans for the Holt Community Food Bank, 2021 N. Aurelius Road, Holt, MI, 517-694-9307.

COSTS: $0.00

SPECIAL INSTRUCTIONS: Wear your Boy Scout shirt, if you have one.

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

THIS PERMISSION SLIP IS DUE BY: Tue. 12/12/06