Troop 269

Century Junior High       Lakeville, Mn

TROOP 269 ACTIVITY PERMISSION SLIP

 

PLEASE RETURN THIS SHEET AND PAYMENT TO MR. NONWEILER NLT 1/8/2007

 

 

Activity:  February Campout                                 Location:  Kiwanis Scout Reservation, Marine on St. Croix         

Day/Date:   Feb 9 – 11, 2007                            Emergency Phone:    (651) 433-2801                _____

Meeting Time:    5:45 PM             Meet At:  Century Middle School, Friday                              Cost: Scout/Parents $30.00

Return Time:    11:30 AM       Return To:  Century Middle School, Sunday             Adult Leaders $20.00

Advancement Skills:  This will be a Merit Badge weekend.  We will be offering 3 or 4 merit badges and they                 will be run in 2 sessions.  Scouts will be afforded the opportunity to earn 2 of the merit badges offered.  The   PLC will work the the SM Council to determine which badges will be offered.  This is a cabin camping                                  experience and they are heated cabins.                                                                                                                                                                                               

Special Instructions:  We will use an adult team to cook for this weekend affording the Scouts the time                                         needed to concentrate on the Merit Badges they are working on.                                                                                                                                                                  

-------------------------------------------------------------------------------------------------------------------------------------------------

PARENT INFORMATION

 

Scout           I will attend this Troop activity                   Yes               No    

Parent         I will attend this Troop activity                    Yes         No      

                    I will drive for this Troop activity                   Yes             No

                    If yes, how many passengers with Gear?       __________  

 

 

 

 

SCOUT INFORMATION

 

Scouts Name: ___________________________________ has my permission to attend the Troop 269 activity

to  Kiwanis Scout Reservation  and to receive any emergency medical treatment and/or anesthesia that may be

required.  All Medications will be checked in prior to departure and carried by the Scoutmaster or an

Assistant Scoutmaster.

Payment Method:     Check # __________                                     Amount:  __________       

                                  Camp Account __________                                           Amount:  __________       

Emergency contact name and phone number(s) if different than health form:

Name: ______________________________________                                                                      Ph. No. _________________________

 

           ______________________________________                                                                                   ____________________

                Signature of Parent/Guardian                                                   Date

No Permission Slips accepted after 1/8/2007