TROOP 93 ACTIVITY PERMISSION FORM

Activity:  Wildwood campout Location: Raymond, NE
Departure Date: 5/10/08 Departure Time: 8:00am
Departing from:: South Gate United Methodist Church
Return Date: 5/11/08 Return Time: around 2:00pm
Return to: Scout's Home

The permission slip deadline for this activity is: 5/01/08  at the beginning of the Troop meeting.

(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:  Wildwood campout from: 5/10/2008  to:  5/11/2008
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: Food $11.00  Equip  $3.00  Council  $0.00  Camp  $0.00  Total: $14.00  
Cash:     Check #:     Scout Account:

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

SEE THE FOLLOWING PAGE FOR ADDITIONAL INFORMATION