TROOP 39
PERMISSION SLIP
EVENT: Summer
Camp at
RETURN SLIP BY: Feb. 14,
2008 for $190.00 Fee; May 15, 2008 for
$210.00 Fee; July 3, 2008 for the $220.00
Fee (For New Scouts Only -- $190.00 fee is due by July 3, 2008).
This
Troop 39 outing will be at
What to Bring: Usual
Camping Gear. (A Detailed List of other items will be provided at a later
date).
** You
must have a current Class II Health Form turned in by May 15, 2008!!
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: Summer
Camp at
I,
the parent or guardian of __________________________________________, hereby
give my permission for him to participate in this Troop 39 activity at Camp Long Lake from Sun. July 6, 2008 to Sat. July
12, 2008.
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 can drive up on
Sunday and have room for ________ passengers
o I can stay at camp
on the following days: _____________________________________
o I can drive back on
Saturday 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 $0.00.
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 _____________________________________________________