| PERSON IN CHARGE: ____________________________________ PHONE# : ______________________ |
| ACTIVITY: ________________________________________ FROM: ____________ TO: ______________ |
| WHERE: ________________________________________________ PHONE# : ______________________ |
| LEAVING FROM: __________________________________ AT: _______________ DATE: ____________ |
| COST OF FOOD: _________________________________________________________________________ |
| COST OF ACTIVITY: ______________ FOR: __________________________________________________ |
| SPECIAL FEE: ____________________ FOR: __________________________________________________ |
| TOTAL FEE: ______________________ FOR: _________________________________________________ |
| ON THIS OUTING, WE WILL BE DOING THE FOLLOWING: __________________________________ |
| _________________________________________________________________________________________ |
| _________________________________________________________________________________________ |
| EACH PERSON WILL BE RESPONSIBLE FOR BRINGING THEIR OWN PERSONAL GEAR AND |
| FOR TAKING CARE OF IT PROPERLY. THERE IS A LIST OF PERSONAL GEAR IN THE SCOUT |
| HANDBOOK. THIS PERMISSION SLIP AND THE TOTAL FEE OF:________ ARE DUE BY:________ |
| ------------CUT------------KEEP TOP PORTION--------RETURN BOTTOM PORTION------------------CUT------------ |
| I GIVE MY PERMISSION FOR MY SON TO JOIN TROOP 316 ON THE FOLLOWING |
| ACTIVITY: __________________________________________ FROM: ____________ TO: _____________ |
| SIGNATURE OF PARENT OR GUARDIAN: __________________________________________________ |
| I ________________ (SCOUT"S NAME) PROMISE TO OBEY SCOUT OATH, LAW AND OUTDOOR |
| CODE. SCOUT'S SIGNATURE: _____________________________________________________________ |
| EMERGENCY PHONE# : _____________________ FOR: ______________________________________ |