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  TROOP 12

MEETS EVERY THURSDAY NIGHT  7:30PM

ST. PETERS EPISCOPAL CHURCH

94 E. MT. PLEASANT AVE

LIVINGSTON NJ 07039

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EVENT:   Klondike Derby   ACTIVITY: Skills competition    

DEPART: Sat. Feb 11, 2017 at 7:30 AM   

RETURN: Sat. Feb 11.  2017 at 5:00PM

DESTINATION: South Mountain Reservation NJ  Tentative

BRING: hat, coat, gloves, hiking boots, raingear,                                     

COST PER SCOUT: $15.00  per scout and Adult    Dress Warm.. No scout uniforms required.

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. PISCIOTTI,  S. CHOY OR MR. LEUNG  BY THURSDAY, Jan. 26, 2017

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

                                                                                                                                                                                

PERMISSION SLIP

  1. I hereby give my son__________________________________________________ permission to participate in the Feb. 11 , 2017 campout.

                                                                                       (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: ______________________________

      4.   An adult attending is expected to help provide transportation for Scouts and/or equipment. Please notify the Scoutmaster if you cannot provide transportation.

                         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)

 

PARENTíS OR LEGAL GUARDIANíS SIGNATURE:____________________________________________________________________