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EVENT: State
Police Comporee ACTIVITY: State Police Comporee DEPART: Friday May 20, 2011 at 5:00PM RETURN: Sunday, May 22,2011 12:00PM DESTINATION: State Police Academy Seagirt NJ BRING: hat, coat, gloves, hiking boots, raingear, sleeping bag, Bag lunch for Saturday COST PER SCOUT CAMPING: $50.00 per scout and Adult (non driver) $30.00 per driver 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, September 23, 2011 =========================================================================================================== Scoutmaster: Dick Barnard 973-597-0355
Committee Chairman: Bill Brady 973-740-1571 Cell Phone 973-879-8498
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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