Boy Scouts of America
Trip
Information Sheet
DATE (S) OF TRIP: _May 15, 2009_ THROUGH: _May 17,
2009________________________________
TIME OF DEPARTURE: 7:30 AM__ FROM: St. Al’s Parking Lot________________
APPROX. TIME OF RETURN:
6:00 PM __RETURN LOCATION: St. Al’s Parking Lot___________.
LOCATION /EVENT: “BIG TRIP” Washington D.C.______________________________________
SPECIAL ITEMS TO BRING: Walking shoes, hat, sunscreen,
camera.___________________________
COST: $60.00__
DUE BY:_May 14th Scout Meeting__________________________________
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Permission Slip
SCOUT NAME: ______________________________________________
AGE:_____________________
PARENT / GUARDIAN’S NAME: _________________________________________________________
PHONE: _______________________________________________________________________________
EMERGENCY CONTACT OTHER THAN PARENTS: _________________________________________
PHONE: _______________________________________________________________________________
I give my son permission to attend _The Big Trip__on
5/15/09________________ and returning _on 5/17/09_______________________. The trip is to _Washington D.C._ To the
best of my knowledge my son is in good medical health (unless indicated below) and is able to participate in all activities. In the event of illness or accident in the course of such activity and I cannot be
reached, I hereby request that measures be instituted without delay as judgement of medical personnel and adult leadership
dictates.
Medical problems/conditions leaders need to know: ______________________________________________
Medications taking: _______________________________________________________________________
PARENT / GUARDIAN SIGNATURE: _________________________________
DATE: _______________
