THIS PERMISSION SLIP MUST BE TURNED IN BY: September 27, 2011
AUTHORIZATION, DISCLAIMER, CONTACT, MEDICAL
This is to certify that Scout ___________________________ has my permission to attend the Troop campout to be held at Huntsville State Park in Huntsville, TX on October 7-9, 2011 with members of Troop 1288. I herewith release the adult leader and his assistants from any liability and any and all claims for injuries that might be received during this trip either at the destination or in traveling to and from the said event. The adult leader or designated assistant has my permission to secure medical help, if needed, for my child in the event of an emergency.
Please list any medical information appropriate for you Scout. The Scoutmaster in Charge needs to know any prescription medication that your Scout is currently taking and any existing medical conditions. All medication needs to be given to the Scoutmaster in Charge in the original container at departure site. Please list all medication to be taken during the activity: ____________________________________________________________________________________________________
As needed, the following medications with a check mark may be dispensed by the SMIC using the manufacturers’ directions:
Parent(s) signature_______________________________ _________________________________ Date______________
While my Scout is attending this event, I can be reached at: Phone #(_____)_________________________
The Scout Fee for this event is $21.00 which includes: Itinerary $ 7.00 Camp Fee $ 0.00 Food - troop provided
Meet at Epiphany $ 11.00 Transportation Fee
Depart Epiphany $ 3.00 Equipment & Consumables Fee
Depart Huntsville SP
Arrive Epiphany I will be leaving with the troop: ______________ OR, I require a later departure time (TBD): ____________________
I can attend the activity if I can meet the Troop at the campsite on Saturday morning
Will there be any change in Itinerary for Scout, if so please explain: ______________________________________________
Boy Scouts are expected to exemplify a higher level of personal discipline and social behavior than other boys and society in general. Scouts have agreed to strive toward the qualities listed in the Scout Law. Behaviors unworthy of a Scout and behaviors generally not acceptable in society will not be tolerated in Troop 1288. A first incident of improper behavior will result in the Scout calling home. Any further incidents will result in the scout being suspended from the event, and the Scout’s parent(s)/guardian will be called to come and pick up their scout from the event. Scout Acknowledgement of fee deduction & conduct ______________________________________________________
There is NO Adult Fee for this event.
Adults attending this event: ____________________________________. Departing with Troop? YES / NO
Adult (circle one): BOTH WAYS / TO EVENT / FROM EVENT / NOT DRIVING.
Adult Signature__________________________________________Date_____________ Cell Phone # ( ____)____-_______
THIS PERMISSION SLIP MUST BE TURNED IN BY: September 27, 2011 Huntsville State Park Troop Campout October 7-9, 2011 Receipt & Acceptance of Fees Scout Behavior Campout Itinerary
Assistant Scoutmaster-In-Charge: James Meredith
Tue Sep 27, 2011
Signed Permission slip and Scout Behavior Policy due.
Fri Oct 7 5:00PM Epiphany [Bring a Sack Dinner] Fri Oct 7 5:30 Epiphany
Depart Huntsville Sun Oct 9 12:30
Class A Scout Uniform must be worn at all times during the drive. Patrols need to plan menus, assign a grubmaster to purchase food and supplies for 3 meals on Saturday and breakfast on Sunday (Snacks Optional). Scouts should bring a brown bag dinner to eat on Friday evening. This is also my receipt to acknowledge that the event fee of $21.00 may not be refundable in the event that Scout is unable to attend the event. If you cancel, each activity and circumstance will dictate which if any of the fees will be refunded as fees may have already been spent or committed towards the activity. Examples of unexpected and unacceptable behavior include (but are not limited to) disrespect for authority and insubordination of youth leaders, or adult advisors, actions that endanger the physical well-being of others, physical or sexual abuse, mental abuse, profanity, dishonesty, antagonism or harsh criticism of others, any unlawful behavior, and failure to adhere to Troop policies and procedure.
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