TROOP 301
PERMISSION SLIP
Dos Picos Camping
Trip, January 27-28, 2007
What: Dos
Picos Camping Trip
Compass
hike, pioneering, nature walk, woods tools, FUN!
Place: Dos
Directions: East
on
Date: January
27-28, 2007.
Meet At: Saturday,
Jan. 27th, 8 AM, at
Return: Scouts
returned home around noon on Sunday, Jan. 28th
Wear: Class
A shirt for travel, bring any Class B shirt for
campout.
Tour Leaders: SPL
Joshua Solberg
Scoutmaster
Dr. Bryon Solberg
Keep this portion for reference
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Return this
portion to Tour Leader
My son
______________________________ has permission to go with Troop 301 on the
following activity: Dos Picos Camping Trip, Jan.
27-28, 2007 In case of emergency, I agree for the doctor(s) selected to provide
care as seen fit for my son.
In case of
emergency, I can be reached at (____)_____-_______________________
If I can not be reached, please contact: (name)________________________________
at (____)_____-_______________________
Medications:____________________________________________
(Please contact Dr. Solberg if any
medications are required on this trip)
Medical
history/Allergies:___________________________________________________
_____________________________________________________________________________
Signed:
______________________________________
Date: ______________________