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NEXT EVENT
Stony Brook-Millstone River Watershed
INFORMATION FOR TROOP 12 EVENT
OVERNIGHT
(Family to keep this sheet)
Fri. April 26through Sun Feb 28
Place: Stony Brook-Millstone River Watershed
Emergency Telephone Number: 732 485 0096 or 609-737-3075
# Meals to be furnished by: Troop: 0
Patrol: 4(Sat. Breakfast, lunch & supper, Sun Breakfast)
Scout: Eat meal before leaving for Event!
The unit will LEAVING (where): Washington School (when) Fri. 7:00 PM
Drivers to pick up (Watershed): Sunday 10:00 am
We expect to return (where) Washington School
Sunday11:15am
NOTE: Scouts must wear seatbelts while riding to / at / from the event!! All drivers must be at least 18 years old, must have current, valid NJ public liability and property damage automobile insurance, and must have the necessary information about their vehicle(s), driver’s license number, and insurance coverage on file with the troop (this is a requirement of National Council, Boy Scouts of America).
Each scout should bring the following clothing and
PERSONAL EQUIPMENT
X Uniform (1 St. Class)
X Rain gear (always)
X Scout Handbook X Flashlight
X Sleeping bag
X Compass
X Personal Gear (soap, toothbrush, etc.)
X Cup, bowl, spoon
X Extra underwear
X water bottle
X Extra socks
X Whistle
X Warm Clothing
X Gloves or Mittens
X Warm Boots
X Wool cap or Balaclava
XXX- Work Gloves
XXX- Work Clothes
In order to participate in this event, completed and signed permission slips must be turned in no later than Thursday April. 18, 2002 8:30 pm No exceptions!
TROOP 12 PROGRAM PARTICIPATION AND TRANSPORTATION
(note that BOTH portions of this sheet must be completed or the sheet will NOT be accepted)
(ALL scout / youth / adult participants MUST be accounted for on a participation sheet)
The completed sheet must be returned no later than April. 18, 2002
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PROGRAM PARTICIPATION
I grant permission for (print scout’s/youth’s name) _______________________________ to attend
AND/OR
The following adult (print adult’s name) ____________________________________ will attend the program event: Stony Brook-Millstone Watershed Campout
Except for the medical restrictions that I have listed on the back of this sheet, the scout/youth/adult may participate in all activities. I have also listed any medication that the scout/youth/adult will bring or procedures to be performed, and have noted the schedule or situations for administration or performance. I have also listed any other condition that may affect the scout’s/youth’s/adult’s behavior, performance, or personal needs. In the event of an emergency during which I cannot be contacted (parent/guardian of scout/youth), or I am unable to give permission (adult), I hereby authorize the adult leadership of Troop 12, of the program event being attended, or of the camp or other facility being visited, or their designee(s) to administer first aid and to obtain proper medical treatment, including, but not limited to, services of a physician or physicians, hospitalization, anesthesia, surgery, or injections of medication for the scout/youth, or me, if an adult.
________________ ________________ ________________ ________________
(print name) (signature) (relationship) (telephone number)
TRANSPORTATION
Our family can provide transportation assistance for this program :________ (Check)
Our family cannot provide any transportation assistance for this program. _______ (check )
Volunteer driver (print name): ____________________________________________________
INCLUDING MY OWN SCOUT (if I have one), I can give a ride to a TOTAL of ________ people
both to and from the event ______
to the event only ______ (check one)
from the event only ______
If the driver plans to stay with the troop and is not the adult listed above, the driver must fill out a separate participation sheet so that an accurate record of attendance is possible. WE NEED AS MUCH SUPPORT FROM PARENTS AS WE CAN GET FOR THIS TRIP. REMEMBER, PARENTS / GUARDIANS ARE ULTIMATELY RESPONSIBLE FOR THEIR SCOUT’S TRANSPORTATION
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