TROOP 58, B.S.A.

Cumberland – No. Yarmouth ME

PERMISSION SLIP

What: White Water Rafting - Dead River. Canoeing Kennebec River. Camping. Eating. Hiking. Fun.

Where: Magic Falls Rafting. West Forks, ME

When: Friday, June 29 - Sunday July 1. Arrive Friday night and set up camp. Rafting Saturday. Canoeing Sunday.

Cost: Rafting $65.00
Camping $12.00 ($6.00 per night)
Food extra

Cancellation policy: You may cancel by May 25 with a full refund. After May 25 you may transfer reservation, but NO REFUND

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Return this portion with payment - No Slip, No Trip

White Water Rafting

_____________________________________ (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: ____________________________ Phone: ________________________

Adult participation: I will attend and drive _______________________

I will drive, but not stay over night _________________________________

Drivers License No. __________________ Seatbelts ____________________

Vehicle Type and Year ______________________________________________

I have _________ canoes. I can carry _______canoes. I can pull a canoe trailer _____.