Scoutmaster: Dick Barnard  Phone 973-597-0355 

Committee ChairmanBill Brady 973-740-1571       Cell Phone  973-879-8498

Event:  Summer Camp July 25 - August 1, 2010

When:  Leave St. Peter’s 11:00am Sunday July 25, Return home Sunday August 1, at 4: 00pm

Where: Yawgoog Scout Reservation Rhode Island

What:  Summer Camp

Bring: Medical Forms Signed by Doctor and Parent, Sleeping Bags, clothes, Swimsuit, mosquito netting, Bug Repellent (not aerosol kind), Scout Book, Perquisites for Merit Badges

Permission Slips must be in to Mr. Brady by Sunday July 25,  2010

IMPORTANT: Please bring a copy and the original Medical forms.

Permission slips are required for every scout attending event regardless if Parent is attending

                                                  Parents are always welcome

                                                            Permission Slip

1.        I hereby give my son____________________________________ permission to participate in the July 25- August 1, 2010 camp out.

                                                        (First and Last Name)

2.        Permission is granted to troop 12 leaders to authorize any emergency medical treatment required.  

3.        In the event of an emergency parent contact: 

        Phone Number_______________________.    

        Alternate Number__________________

4.        I understand that transportation is needed.  I will be able to provide transportation:

        Going_________________ Returning_____________________

               Parent will be Staying______________

5.        My son will not be arriving/departing with the troop. He will be arriving/departing on

___________________________ with _________________________________

            (Date / Time)                                            (Person Transporting the Scout)

 

                             

        Parent’s or Legal Guardian’s Signature