TROOP 12

MEETS EVERY THURSDAY NIGHT  7:30PM

ST. PETERS EPISCOPAL CHURCH

94 E. MT. PLEASANT AVE

LIVINGSTON NJ 07039

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Scoutmaster Gurmeet Grewal 609-519-0235                                                   Committee Chairman   Rich Waxman  201-247-4351

ACTIVITY:  Canoe Brook Clean up

DEPART:  Saturday May 12, 2018   9:30am Meet by Canoe Brook Bridge Sherbrook Pky Livingston, NJ

RETURN:  Saturday May 12, 2018    11:30am Canoe Brook Bridge Sherbrook Pky Livingston, NJ

DESTINATION: Canoe Brook

BRING:  rugged shoes or boots, layered clothing appropriate for the day’s weather, work gloves or rubber gloves, trash bag

COST PER SCOUT: nothing                

PERMISSION SLIP REQUIRED FOR EACH YOUTH PARTICIPATING REGARDLESS IF PARENT IS ATTENDING.  PARENTS ARE ALWAYS WELCOME.

 

PERMISSION SLIPS MUST BE SUBMITTED TO: Mrs. Pisciotti, Mr. Choy or Mr. Leung Thursday May 10, 2018

 

Scoutmaster: Gurmeet Grewal 609-519-0235                                                            Committee Chairman: Rich Waxman 201-247-4351

PERMISSION SLIP

1)     I hereby give my son__________________________________________________ permission to participate in the

                                                                    (First and Last Name)
                                            Canoe Brook Clean up sat. May 12, 2018

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: ______________________________

4)     An adult must drive the child to Location

  ADULT WILL BE ATTENDING:     Yes                         No          

        Name of adult attending:  ________________________________________

5)       Adults not attending may still be asked to help with transportation.  

        ADULT NOT ATTENDING BUT CAN PROVIDE TRANSPORTATION: Going                        Returning                                                               

6)       My son will not depart / return with the rest of the troop:

        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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