The Health form 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:__________________________
Date:__________________________Parent Signature
Emergency Contact Number:
Participant Name:
(Scout or Adult)
Patrol
Payment:
PLEASE PRINT BEFORE CLICKING THE SUBMIT BUTTON
Trip Destination Fleck's Cabin, PA
Dates: February 24-26
Sign up Deadline: February 16th, 2012
Leaving February 24th from church parking lot
February 24th from church parking lotReturning February 26th at the park and ride 12:00
February 26th at the park and ride 12:00Cost per scout $20
$20 Stopping for meal on way there Yes - Bring Money To Eat on the Way
Yes - Bring Money To Eat on the WayStopping for meal on way back No
NoThings to Know:
Be Sure to Bring:Boots, Gloves/mittens, heavy coats, scarf. You can't go it you don't have cold weather
Boots, Gloves/mittens, heavy coats, scarf. You can't go it you don't have cold weather clothes and bootsCooking: Troop Cook
Troop CookSpecial activity: Please bring games/cards to play.
Please bring games/cards to play. .
Participation
Comment:
Payment Amount $:
