(PARENTS KEEP THE TOP HALF)

EVENT:  __________________________                        **MONEY AND PERMISSION                                    SLIPS MUST BE IN BY:

PLACE: ___________________________                              Due Date _____________

            LEAVING                  RETURNING

DATE             ____________            ____________

TIME              ____________            ____________

PLACE             _____________________

COST BREAKDOWN

Registration        

$_____________

If you need to contact your Scout, in case of emergency call the following number:

It may be very difficult to make contact depending on what event is scheduled and its location.

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PERMISSION SLIP  (RETURN THIS HALF TO SCOUTMASTER)

I GIVE MY SON, ___________________________, PERMISSION TO GO ON THE FOLLOWING TRIP

EVENT            ___________________________________

PLACE            ___________________________________

DATE             ___________            PARENT’S SIGNATURE_________________________         

IF THERE IS ANY CHANGE TO THE MEDICAL INFORMATION ALREADY SUBMITTED OR ANY MEDICATION TO BE TAKEN, PLEASE LIST IT BELOW.

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IF FOR ANY REASON YOU CANNOT PICK UP YOUR SCOUT AT THE ABOVE TIME, PLEASE MAKE SOME ARRANGEMENT TO HAVE HIM PICKED UP AND LET US KNOW.

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