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EVENT: CANCELED
ACTIVITY:
DEPART: Friday, Dec. 4, 2009 at 3:00 PM RETURN: Sunday, Dec. 6, 2009 at 2:00PM DESTINATION: The Nations Capitol BRING: hat, coat, gloves, hiking boots, raingear, sleeping bag, Bag Lunch COST PER SCOUT: NOT SCHEDULED THIS YEAR 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, Nov. 19, 2009 ================================================================================================================== 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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