Scoutmaster:Gurmeet Grewal 609-519-0235 Committee Chairman: Rich Waxman 201-247-4351
ACTIVITY: Entertainment at Inglemoor Rehabilitation and CareCenter DEPART: Saturday December 8 ,2018 Meet there at 10:00AM
RETURN: Pick up at 11AMDESTINATION: Inglemoor Rehabilitation and Care Center
311 South Livingston Avenue (next to YMCA) MEET THERE. ARRANGE TRANSPORTATION ON YOUR OWN
BRING:Must wear class “A” uniform, skits, instruments to perform
COST PER SCOUT: nothing
PLEASE BE IN CLASS “A” UNIFORM.
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. PISCIOTTI, S. CHOY OR MR. LEUNG BY THURSDAY BY THURSDAY, December 6,2018
1)I hereby give my son_____________________________ permission to participate in the
(first and last name)
Morning Entertainment at Inglemoor Rehabilitation and Care Center Saturday December 6, 2018
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. Please notify the Scoutmaster if you cannot provide transportation
ADULT WILL BE ATTENDING:Yes No
Name of adult attending: ______________________
Adults must bring and pick up their own
PARENT’S OR LEGAL GUARDIAN’S SIGNATURE: