TROOP 39 PERMISSION SLIP

EVENT: Troop 175 Outdoorsman Merit Badge Clinic

COST: $40.00 (Session Materials, Camping Fees, Patch, and Saturday Noon Meal)

RETURN SLIP BY: Thurs. November 8, 2007

This Troop 39 outing will be at IMR Scout Camp in Oconomowoc, WI from Fri. April 11, 2007 to Sun. April 13, 2007. Scouts will leave from the Troop House on Friday at 5:00PM and will be returned to their home on Sunday around 11:00AM .

Activites: Scouts will have the opportunity to earn 2 Merit Badges from the following list: Emergency Preparedness, First Aid, Environmental Science, Rifle Shooting, Archery, Wilderness Survival, Fire Safety, Geology, Pioneering, and Fishing.

What to Bring: Notebook and Pen/Pencil; Usual Camping Gear

The Scout's health insurance provides primary coverage. Troop 39 provides secondary health insurance coverage and BSA provides liability coverage for adult leaders.

--------------------- detach and return the lower portion; keep the upper portion ---------------------

EVENT: Troop 175 Outdoorsman Merit Badge Clinic

COST: $40.00 (Session Materials, Camping Fees, Patch, and Saturday Noon Meal)

I, the parent or guardian of __________________________________________, hereby give my permission for him to participate in this Troop 39 activity at The Scout Camp in Oconomowoc, WI from Fri. April 11, 2007 to Sun. April 13, 2007.

In case of an emergency, I understand every effort will be made to contact me. If I can’t be reached, I give my permission to the adult leaders to secure proper medical treatment for the above named scout. I have previously provided the insurance policy information and emergency phone numbers.

I understand that if my son behaves in an unacceptable manner, the adult leader in charge will warn him that he will be sent home if such behavior continues and will discuss the situation with me. If his unacceptable behavior continues after this warning, I will be asked to pick him up.

o I will drive and stay for the entire event and have room for ________ passengers (BSA requires that vehicles have seat belts for all passengers and be insured for at least $50,000/$100,000 liability and $5,000 property damage). My cost is $20.00.

Parent's signature and date ___________________________________________________

I am including a non-refundable payment of ____________ o cash o check

and/or authorize the non-refundable withdrawal of __________ from my Scout Account

Scout's signature __________________________________________________________