Boy Scouts of America
Trip Information Sheet
DATE (S) OF TRIP: _________________________ THROUGH:
_________________________________
TIME OF DEPARTURE: _____________________ FROM: _____________________________________
APPROX. TIME OF RETURN: ______________________ RETURN LOCATION:__________________.
LOCATION /EVENT: ____________________________________________________________________
SPECIAL ITEMS TO BRING: _____________________________________________________________
COST: ________________
DUE BY:______________________________________________________
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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 ______________________________________________
and returning __________________________.
The trip is to ____________________________________. 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: _______________
