Troop 776 Permission Form

___________________________________ has my permission to participate in the trip to:

·        Destination: _______________________________________________________________________

·        Meeting at the church parking lot at _____________ on ______/______/______  (M T W TH F S SU)

·        Returning to church parking lot or home at _____________ on ______/______/_____ (M T W TH F S SU)

·        Cost is $___________  Payment made on: ______/______/______ Cash/Check   Scout Account

·        In addition the scout should carry cash in the amount of $____________.

·        Each scout is responsible for bringing personal gear needed for the trip.

I am aware that transportation for the trip will include the use of privately owned vehicles. I authorize my son’s use of such transportation and understand that he will be seat belted in to and from the event.

I  will / will not  be attending with my scout
I can provide transportation for ________ Scouts.
 
Emergency Phone Numbers where I can be reached during this event:
Home_______________________

Work/Cell____________________

If I cannot be reached in the event of an emergency, the following person is authorized to act in my behalf:

Name: ____________________________________________

 

Phone: ____________________________________________

 

Relation to Scout____________________________________

Signed ________________________________________________ date __________________

                                    (Parent or Legal Guardian)

Additional Information

__________________________________________________________________________________________
__________________________________________________________________________________________
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Last updated: June 20,2008

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If you would like more information about Troop 776, please contact us at Troop776@att.net