BSA Troop 58 Permission Slip
WHAT: Polar Bear Campout
WHERE: Rangeley, Maine
WHEN: Saturday March 16 - Sunday March 17
PAYMENT: approx. $5.00 plus bring $2.00 for donuts on the way up.
Meet at the Westcustago Hall 7:30 a.m. Saturday Morning and arrive back at the Westcustago at approximately 12:30 Sunday afternoon.
BRING: Shovel, sled, plate, utensils, cup, 0° sleeping bag, winter coat, hat, mittens and/or gloves, snowpants, winter boots, tarp, extra change of clothes for sleeping in, including wool socks and hat(in a plastic bag). Wool, polypropylene, or polyester is much better than cotton! Extra wool socks for the next day is helpful too.
Scout Name(s):________________________________________________________
has permission to participate in all aspects of the above Boy Scout activity with the leaders of BSA Troop 58. I understand the risks and dangers involved, and will not hold the leaders of Troop 58 liable for any accident or injury which may occur during this activity. In the event of illness or accident in the course of this activity, I request that measures be instituted without delay as the judgment of Troop leaders or medical personnel dictates.
Emergency phone: _____________________________
Signed:______________________________________ Date: _________________
(parent or guardian)
Adult Name:___________________________
______ Yes, I will go, drive, and help. Seat belts__________________
______ No, I’m not going but I can drive Seat belts __________________
Additional info: