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  TROOP 12

MEETS EVERY THURSDAY NIGHT  7:30PM

ST. PETERS EPISCOPAL CHURCH

94 E. MT. PLEASANT AVE

LIVINGSTON NJ 07039

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Scoutmaster Gurmeet Grewal 609-519-0235                                                    Committee Chairman Rich Waxman 201247-4351

ACTIVITY: NJ Food Pantry food distribution

DEPART: Sat. March 25  2017  by 9 AM  from St. Peters 

RETURN:  Ends at 11AM  to  St. Peters 

DESTINATION: NJ food bank

BRING: The food collected from the scouting for food project

COST PER SCOUT: No Fee

PERMISSION SLIP REQUIRED FOR EACH YOUTH PARTICIPATING REGARDLESS IF PARENT IS ATTENDING.  PARENTS ARE ALWAYS WELCOME.

 

PERMISSION SLIPS AND PAYMENT MUST BE SUBMITTED TO Mr. Waxman BY THURSDAY, March 23, 2017

 

  Scoutmaster: Gurmeet Grewal 609-519-0235                                                            Committee Chairman: Rich Waxman 201-247-4351

PERMISSION SLIP

 

1)       I hereby give my son__________________________________________________ permission to participate in the

                                                                        (First and Last Name)
NJ Food Pantry food distribution on March 25 ,2017 9-11AM

 

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            name of Adult                                                                                                              

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)

 

 

PARENTíS OR LEGAL GUARDIANíS SIGNATURE: