Permission Slip                                      
 
As the parent or legal guardian of _________________________ , I hereby give my permission for this child to participate in
an outing with Troop 611.                                                                 
                                                                                          
                                             Location     
Departure Time: 7:30am       Date: 01/31/09  drop of rotary scout resavtion               
Return Time:    9:00am       Date: 02/01/09  pick up                                      
 
Activity:       klondike derby                                                            
 
I give permission to the leaders of the above unit to render First Aid, should the need arise. In the event of an emergency, I
also give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, order
injection, or secure other medical treatment, as needed.                                  
                                                                                          
I further agree to hold the above named unit and its leaders blameless for any accidents that might occur during this outing
except for clear acts of negligence or non-adherence to BSA policies and guidelines.      
Boys will be drop off at RSR in the parking lot on Sat. morning and picked up on Sun. morning  we will be staying at uline
lodge on Sat. night .cost for the outing will be 8.00 dollars for klondike ,12.00  dollars total if you spend the night( covers food
and lodging). be sure to wear warm clothing and bring a change so you will be dry in the eveing DON'T forget crack-a-barrel
                                                                                          
In case of emergency, I can be reached by phone at ____________________ or ____________________.
 
If I cannot be reached, please contact _________________________ at ____________________. 
 
Signed: ______________________________  Date: _______________                             
            (Parent or Guardian)     
 
 
 
 
 
                                     Permission Slip                                      
 
As the parent or legal guardian of _________________________ , I hereby give my permission for this child to participate in
an outing with Troop 611.                                                                 
                                                                                          
                                             Location     
Departure Time: 7:30am       Date: 01/31/09  drop of rotary scout resavtion               
Return Time:    9:00am       Date: 02/01/09  pick up                                      
 
Activity:       klondike derby                                                            
 
I give permission to the leaders of the above unit to render First Aid, should the need arise. In the event of an emergency, I
also give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, order
injection, or secure other medical treatment, as needed.                                  
                                                                                          
I further agree to hold the above named unit and its leaders blameless for any accidents that might occur during this outing
except for clear acts of negligence or non-adherence to BSA policies and guidelines.      
Boys will be drop off at RSR in the parking lot on Sat. morning and picked up on Sun. morning  we will be staying at uline
lodge on Sat. night .cost for the outing will be 8.00 dollars for klondike ,12.00  dollars total if you spend the night( covers food
and lodging). be sure to wear warm clothing and bring a change so you will be dry in the eveing DON'T forget crack-a-barrel
                                                                                          
In case of emergency, I can be reached by phone at ____________________ or ____________________.
 
If I cannot be reached, please contact _________________________ at ____________________. 
 
Signed: ______________________________  Date: _______________                             
            (Parent or Guardian)