I give my son permission to participate in the Scouting activity described above. The Health form giving on file with the Troop is current. Below is additional information the leader should know (Include any medications or temporary conditions not listed on the Health Form)

____________________________________________  Date:__________________________

Parent Signature

Emergency Contact Number:

Participant Name:

(Scout or Adult)

Patrol

Payment:

PLEASE PRINT BEFORE CLICKING THE SUBMIT BUTTON

Jug Bay

Permission Slip

March 19th - 21st

Signup Deadline = March 11th

COST:$16.00 plus food ( Patrol Cooking)

Departure: 5:30 PM Friday from All Saints' 

Return:       2 PM Sunday at All Saints'

Things to Know:

1.  Minimum participation required for the trip is 12 Scouts by the deadline.

2.  Eat dinner before arriving Friday

3.  Turn in a copy of this permission slip.

Participation

Cut and post this section on large metal object in home

Cut and turn this  section into your patrol leader

Comment:

Payment Amount $:

Not ApplicableScout BucksCash CheckTo be Determined

UnknownAdultBarracudaEaglePit ViperSerpentWolf

Not ParticipatingParticipating ScoutParticipating AdultParticipating Adult Driver

Jug Bay

My Monthly Dues are Paid
I'm including $10.00 for my dues with the cost of this trip.
Adult Participant