Kittantinny Scout Reservation
Here is the permission slip for the upcoming camp out at the Kittantinny Scout Reservation
Troop 63, BSA
New Providence, NJ
Permission Slip
I give permission for my son(s) __________________________ to participate in the Troop 63 - camping trip to Kittantinny Scout Reservation, Kittatinny NJ on Friday, November 10, 2006- Sunday November 12, 2006.
I am willing to drive on this trip: _____ Yes - both ways ____Yes (going only) ___ Yes (returning) ___No I am willing to stay over : ____Yes ____No
In the case of an emergency, I can be reached at (______)____________.
Medical Insurance carrier and account # __________________________________.
I understand that in case 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 Overnight camping at Kittatinny Scout Camp, Kittatinny NJ
Assembly Time Church parking lot at 7:00 p.m. on Friday, November 10, 2006
Returning Time Church parking lot at 11:15 am on Sunday, November 12, 2006
Emergency Phone (973) 948-4757or Scoutmaster cell (908) 656-0662
Cost $20 for Scouts due before November 6, 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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