Troop781 Activityparticipationauthorization Emergency Information (for Parents To Keep) Activity:
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TROOP781 ACTIVITYPARTICIPATIONAUTHORIZATION EMERGENCY INFORMATION (for parents to keep)
Activity: Summer Camp, Cole Canoe Base Leader in Gharge: Bill Hoefling, Scoutmaster Departure: Sunday, June 28, 2009, departure times to be determined Activity Location: Edward N. Cole Canoe Base, 1356 Greenwood Road, Alger, Ml 48610 Return: Saturday, July 4, 2009, approximately 12-2,to their home Cole Canoe Base Emergency Number: 1-989-836-2270 Special Instructions: Class A Uniform may be required for Saturday. Bring tents and camping gear.
TROOP781 ACTIVITYPARTICIPATIONAUTHORIZATION In consideration of the benefits to be derived and in view of the fact that the Boy Scouts of America is an educational organization, membership in which is voluntary, and having full confidence that every precaution will be taken to insure safety and well being of all participants during the activity noted below, I hereby acknowledge my awareness and grant my permission for my son, or ward to participate in the activity. I further state that my son is in good physical health so far as I know, and that heishe has permission to engage in all prescribed activities, except as noted by me. ln the event that I cannot be reached in an emergency, I hereby give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, or to order injection or surgery for my son.
Participant's Name:
Activity: Summer Camp, Cole Canoe Base Leader in Charge: Bill Hoefling, Scoutmaster Departure: Sunday, June 28, 2009, departure times to be determined Activity Location: Edward N. Cole Canoe Base, 1356 Greenwood Road, Alger, Ml 48610 Return: Saturday, July 4,2009, approximately 12-2, to their home Deposit: $100, by February 1,2009, balance by March 31, 2009 Fee: $235 to $245 (final price will be determined in January) which covers registration and meals. (Checks should be made out to Troop 781). Phone (H) .
Signature Parent/Guardian
(B)
Activity: Summer Camp, Cole Canoe Base Leader in Gharge: Bill Hoefling, Scoutmaster Departure: Sunday, June 28, 2009, departure times to be determined Activity Location: Edward N. Cole Canoe Base, 1356 Greenwood Road, Alger, Ml 48610 Return: Saturday, July 4, 2009, approximately 12-2,to their home Cole Canoe Base Emergency Number: 1-989-836-2270 Special Instructions: Class A Uniform may be required for Saturday. Bring tents and camping gear.
TROOP781 ACTIVITYPARTICIPATIONAUTHORIZATION In consideration of the benefits to be derived and in view of the fact that the Boy Scouts of America is an educational organization, membership in which is voluntary, and having full confidence that every precaution will be taken to insure safety and well being of all participants during the activity noted below, I hereby acknowledge my awareness and grant my permission for my son, or ward to participate in the activity. I further state that my son is in good physical health so far as I know, and that heishe has permission to engage in all prescribed activities, except as noted by me. ln the event that I cannot be reached in an emergency, I hereby give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, or to order injection or surgery for my son.
Participant's Name:
Activity: Summer Camp, Cole Canoe Base Leader in Charge: Bill Hoefling, Scoutmaster Departure: Sunday, June 28, 2009, departure times to be determined Activity Location: Edward N. Cole Canoe Base, 1356 Greenwood Road, Alger, Ml 48610 Return: Saturday, July 4,2009, approximately 12-2, to their home Deposit: $100, by February 1,2009, balance by March 31, 2009 Fee: $235 to $245 (final price will be determined in January) which covers registration and meals. (Checks should be made out to Troop 781). Phone (H) .
Signature Parent/Guardian
(B)
