EVENT:  
White Water Rafting   ACTIVITY: Raft trip on the Leigh river

DEPART: Friday , June 3 2011 at 5:00PM   

RETURN: Sunday, June 5, 2011 at 12:00PM

DESTINATION: Camp Alpine 

BRING: Bag diner, hat, coat, gloves, hiking boots, raingear, sleeping bag

COST PER  SCOUT: $25.00    

PERMISSION SLIP REQUIRED FOR EACH YOUTH PARTICIPATING REGARDLESS IF PARENT IS ATTENDING. 

PARENTS ARE ALWAYS WELCOME.

Bring:  Rain Gear, sleeping bag, Coat, Hat gloves. 

PERMISSION SLIPS AND PAYMENT MUST BE SUBMITTED TO MRS. BARNARD OR MRS. PISCIOTTI BY THURSDAY, May 19, 2011

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Scoutmaster: Dick Barnard 973-597-0355                                                           Committee Chairman: Bill Brady  973-740-1571

                                                                                                                                                                               Cell Phone   973-879-8498                              

PERMISSION SLIP

  1. I hereby give my son__________________________________________________ permission to participate in the June 3- June 5, 2011 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)

 

PARENT’S OR LEGAL GUARDIAN’S SIGNATURE:____________________________________________________________________