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EVENT: Boston
Freedom Trail Camp Sayre
DEPART: Friday, April 13, 2012at 2:30PM RETURN: Sunday, April 15, 2012 at 2:00PM DESTINATION: Camp Sayre Boston Mass BRING: Bag dinner for Friday, hat, coat, gloves, hiking boots, raingear, sleeping bag COST PER SCOUT: $20.00 Per scout and non driver. Drivers 0.00 includes meals at campsite only. PERMISSION SLIP REQUIRED FOR EACH YOUTH PARTICIPATING REGARDLESS IF PARENT IS ATTENDING. PARENTS ARE ALWAYS WELCOME. PERMISSION SLIPS AND PAYMENT MUST BE SUBMITTED TO MRS. BARNARD OR MRS. PISCIOTTI BY THURSDAY, March 29, 2012 ================================================================================================================== Scoutmaster: Wayne Brandt 973-992-2788 Committee Chairman: Rich Waxman 201-247-4351 PERMISSION SLIP
(First and Last Name) 2. Permission is granted to Troop 12 leaders to authorize any emergency medical treatment required. 3. Parent contact in the event of an emergency: Phone Number: ___________________________ Alternate Phone Number: ______________________________
ADULT WILL BE ATTENDING:
Yes Name of adult attending: ________________________________________
ADULT NOT ATTENDING BUT CAN PROVIDE TRANSPORTATION:
Going
Departing: _______________________ with __________________________________ (Date / Time) (Person Providing Transportation) Returning: _______________________ with __________________________________ (Date / Time) (Person Providing Transportation)
PARENT’S OR LEGAL GUARDIAN’S SIGNATURE:____________________________________________________________________
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