BOY SCOUTS OF AMERICA                                                                            TRIP PERMISSION SLIP

 

 

 

Activity Planned:    Klondike Derbies at Camp Emerson    

 

Date(s):       February 13 – February 15, 2004                        Destination:   Camp Emerson

                                                                                                              In the San Jacinto Mountains

          

Departure From:  Prince of Peace Church                               

 

Meet Time: 1:45 pm                Departure Time: 2:00 pm SHARP!                                   

 BE ON TIME TO GET YOUR CAR ASSIGNMENTS SO THAT WE CAN LEAVE ON TIME!

 

Return Time and Location:        1:00 pm, Sunday, February 15th, Prince of Peace                           

COST OF CAMP: $35 Includes program and most meals

BRING SACK DINNER FOR FRIDAY DINNER

BRING MONEY FOR SUNDAY LUNCH – FAST FOOD WITH YOUR CARPOOL

 

TRIP SLIPS AND FULL PAYMENT MUST BE RETURNED NO LATER THAN MONDAY,JANUARY 5th

 

Contact Person for Questions Regarding Outing:      Patrol Leader or Senior Patrol Leader

 

Emergency Contact Person:      Robert Soyster   (818) 704-5227, (818) 704-5226

(Person that parent/guardian can contact during outing)

 

----------------------------------------------------------Detach Here-------------------------------------------------------------  

 

Scout Trip Registration Form

(To Be Completed by Parent or Guardian)

  o My Scout Will Be Attending This Outing       o My Scout Will Not Be Attending This Outing

 

Scout’s Name:

 

____________________________________

 

Has my permission to attend   the Klondike Derbies at Camp Emerson in the San Jacinto Mountains

 

                                                                                 

______________________________________            ________________________________ 

        Signature of Parent or Guardian                                                         Telephone Number

 

 

______________________________________________              ______________________________________

Telephone number where parent or guardian can be                  Emergency contact (if the parent or guardian

reached during the outing (if different from above)                     is not available)                          

Troop 22 Outing Emergency Contact Person:            Robert Soyster   (818) 704-5227, (818) 704-5226