Citta Scout Reservation
This next camping trip will be at the Citta Scout Reservation in Brookville, NJ. This one looks good so make sure to go!:
Troop 63, BSA
New Providence, NJ
Permission Slip
I give permission for my son(s) __________________________ to participate in the Troop 63 – Camping trip on October 20-22, 2006 to Citta Scout Reservation located in Brookville, NJ.
I am willing to drive: ____ Yes (Friday) _____Yes (Sunday) _____No
I am willing to stay overnight: _____Yes _____No
In the case of an emergency, I can be reached at (______)____________.
Medical Insurance carrier and account # __________________________________.
I understand that in the event of an emergency, every effort will be made to contact me. In the event I can not be reached, I hereby give my permission to the physician selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medications for my child.
Pertinent medical facts about my son(s) are as follows:____________________
______________________________________________________________
Signed______________________________ Date_________________
---------cut here - bring the top part to the troop meeting - leave bottom part home------
Event Itinerary
Event Description Campout to Citta Scout Reservation (Brookdale, NJ)
Assembly Time Church parking lot at 7:00 pm on Friday, October 20, 2006
Returning Time Church parking lot at 11:30 noon on Sunday October 22, 2006
Emergency Phone Camp Ranger (609) 698-2855 or Scoutmaster cell (908) 656-0662
Cost Bring $15 (cash only) to a Scout meeting prior to October 10, 2006.
No fee for adults.
Drivers who are picking up Scouts for return trip should be at the camp by 9:15 am

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