| Permission Slip |
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| PEOPLE IN CHARGE: |
| ACTIVITY: Optimist Youth Camp -
Yankee Springs Orienteering Course |
| TIME AND DATES:Friday-Sunday, November 10-12, 2006 |
| WHERE: Optimist Youth Camp, 1264 W. Kinsel Hwy.
Charlotte, MI 48813 and Yankee Springs Recreation Area,
2104 S Briggs Road, Middleville, Michigan 49333 |
| PHONE: (emergency only!) (517) 543-7903 (Optimist Youth Camp)
and 269-795-9081 (Yankee Springs Recreation Area) |
| MEET AT: Olivet Baptist Church, Friday, November 10, 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
Optimist Youth Camp on Friday and Saturday evening and conducting
an orienteering course on Saturday at Yankee
Springs Recreation Area. |
| COSTS: $20.00 |
| 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 $20.00 IS DUE BY:
Tuesday, October 17, 2006 |
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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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