TROOP 58, B.S.A.

Cumberland – No. Yarmouth ME

PERMISSION SLIP

What: Acadia Bike-Rock Climbing Trip - Bike the carriage trails. Possibility to start Cycling MB. Rock climb on shore cliffs. Big 3rd annual gala dinner.

Where: Blackwoods Campground. Acadia National Park. Mt. Desert Island.

When: Friday April 19 - Sunday April 21. Leave Friday afternoon 4-6 PM. Set up camp in the dark. Bike, hike or rock climb Saturday (rock climbing 1/2 day). Gala dinner Saturday night. Sunday rock climbing for 1/2 day. (You can climb both days, pay twice).

Costs: Rock climbing - $35.00 per person (adults welcome)

Food - $10.00 per scout

Gas - $5.00 per person if not driving or riding with parent

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Return this with payment - No Slip, No Trip

Acadia Bike-Climb Trip

_____________________________________ (scout) has my permission to participate in all aspects of the above listed outing with Troop 58, BSA. I realize there may be activities which can result in injuries. I give my permission to the representatives of Troop 58 and/or the BSA to render any and all medical assistance they deem necessary. (This serves as permission to render medical treatment).

Signed: ____________________________ Emergency Phone: __________________

Adult participation: I will attend and drive ___________________________

Drivers License No. __________________ Seatbelts __________________________

Vehicle Type and Year _____________________________________________________

Talk to me about a trailer/I can pull Troop trailer ________________________

IMPORTANT:

I want to rock climb: Saturday ______________ Sunday ___________________