Cumberland North Yarmouth

Permission Slip

When: Friday, January 7, 2005 through Sunday, January 9, 2005
Where: Camp Hinds Raymond, Maine.

This will be a weekend of fun activities for all, including outdoor activities such as winter sports, snowball fights, and polar bear camp out (if enough snow), as well as indoor activities such as cooking, chess, backgammon, Yahtzee and other games. It's a weekend to have fun together. And there's sure to be a fire in the fireplace!

Check in time on Friday Night is 6:00 to 6:30PM. Pick up time Sunday morning is by 11:00AM. (Each scout is expected to arrange for rides both to and from camp.)

An email will be sent out during the week before with suggestions for what gear to bring. Planning meeting for the trip will be held at the January 3, 2005 meeting.

We are looking for adult volunteers to help out during the weekend…if you can come for part or all, please contact Mr. Thomas,

Cost: $20.00 per person.


Return this portion with payment No Slip, No Trip
WINTER WEEKEND Camp Hinds Raymond, Maine

Friday, January 7, 2005 through Sunday, January 9, 2005

____________________________ (scout) has my permission to participate in all aspects of the above listed outing, as well as other related items that may arise on the agenda, with Troop 58 BSA. I realize there may be activities that can result in injuries. I give my permission to the representatives of Troop 58 to render any and all medical assistance they deem necessary. (This serves as permission to render medical treatment.)

Name of Scout: ___________________________________

Signed: _________________________________________ Emergency Phone: __________________
(parent or guardian)

Adult Participation: I will attend __________________________________

I will attend but will not drive _____________________________________ Not applicable __________

Driver's License number: ________________________________________ Not applicable __________

Vehicle Type and Year: _________________________________________ Not applicable __________

Vehicle Plate Number: ________________ Not applicable _____________ Seatbelts: ________________