EVENT:  West Point Military Academy foot ball game and tour     

DEPART: Friday, Sept 16, 2011  at 5:30 PM  

RETURN: Sunday, Sept 18, 2011 at 12:00PM

DESTINATION: USMA at West Point NY

BRING: hat, coat, gloves, hiking boots, raingear, sleeping bag, Bag Lunch Monies for  diner at Sat. evening at the game

COST PER SCOUT:  16.00 Per Scout and non Driver adult  (football game tickets purchased in advance)   LIMIT 50 SCOUTS AND ADULTS

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. PisciottiBY THURSDAY, Sept. 8, 2011

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Scoutmaster: Wayne Brandt 973-992-2788                                                          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 Sept. 16-18 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:____________________________________________________________________