TROOP 93 Blank Activity Permission Form

TROOP 93 ACTIVITY PERMISSION FORM
Activity:	Location:
Departure Date:	Departure Time:
Departing From:
Return Date:	Return Time:
Return to:
The permission slip deadline for this activity is:

(Keep the top portion so you know where your son is for this activity)

(Return the bottom portion on or before the date above so your son can go on this activity)

Scout: has our permission will not be able

to attend: from: to:

Remarks:

The person above has permission to engage in all prescribed activities, except as noted above by me. In the event I cannot be reached in an emergency, I hereby give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, or to order injection.

I will be able to provide transportation for Scouts to the campout. yes no

I will be able to provide transportation for Scouts from the campout. yes no

I will be able to attend the campout: yes no

Signature: Date:

Phone (home): Phone (work):

Alternate Contact:

Phone (home): Phone (work):

Fees: Camping $ Equip $ Council $ Camp $ Total: $

Cash: Check #: Scout Account:

Any adults wishing to attend, you are welcome! Please let us know.

TROOP 93 ACTIVITY PERMISSION FORM