Jun07 Permission

Troop 23 Permission Slip
WHAT: June Camping trip
WHEN: June 22-24 2007
WHERE:  Salisbury Beach State Park                                  
FEE: $10.00
DEPARTING: 6:00 PM, Friday June 22, from VFW parking lot
RETURNING: Early Sunday to VFW.  Scouts will call to be picked up.
LEADER IN CHARGE: Jeremy Jones (cell: 508-380-8892)
DIRECTIONS:  Mass Pike, to Route 95N
Take exit 58A for RT-110 E toward Salisbury 0.2 mi
Merge onto John Greenleaf Whittier Hwy/Macy St/RT-110
Continue to follow RT-110 2.1 mi
Turn left at Bridge Rd/US-1 N
Continue to follow US-1 N 0.2 mi
Turn right at Beach Rd/RT-1A 2.0 mi
Turn right at State Reservation Road
Follow it until it ends at Salisbury Beach State Park

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I, _______________________________________________________________, the undersigned parent/guardian of   
 __________________________________________________________, do hereby grant permission for him to attend:  
[  ] Camping Trip  June 22-24, 2007.  I also give permission to the leaders, Jeremy Jones or his designees, to seek any necessary, emergency medical treatment for my son. 
CAN YOU DRIVE and/or CAMP? - If we need you to drive or camp, we will contact you.
[    ] YES,  I'm willing to drive.   I HAVE ROOM FOR _____ SCOUTS and ______ equipment
[   ] YES, I would be willing to go camping with the troop.
[   ] My son has a conflicting activity: ________________ during the camping trip.
He needs to leave at time: _________ on day: ____________
and will return at time: _________ on day: _____________.

Signed: ______________________________________________

Phone Numbers:______________________________       Email Address:______________________

Another Responsible Party: _________________________________________________________

Relationship: _____________________ Their Phones:________________________________________________

Payment Amount: $_____________ Paid by [ ] Cash   [ ] Check (due May 16)