From: David Skolnick
To: Troop 105 Parents and Scouts
Cc: Mike O'Melia
Subject: Troop 105, May 2009, Campout Info and
Permission Slip
Greetings Parents and Scouts,
For the May 2009 campout, Troop 105 will meet at Tubbs Meadow Preserve (Pembroke, MA) to participate in games and scout craft during the afternoon, enjoy a Troop/family cookout (Saturday night), hold the troop crossover ceremony (following the cookout), and camp overnight on Saturday night.
Campout Information:
RESPONSE REQUIRED: Completed Permission Slips for scouts and leaders are due back by Monday, May 4, 2009 (at Troop meeting). Please give your forms to our Camping Coordinator, Doug Lyons (or designee).
WHAT: Trip to Tubbs Meadow Preserve to enjoy a camping and scout craft program; tents, suitable hiking shoes, warm cloths/sleeping gear required
WHEN: Saturday,
May 9, 2009 -- Older Scouts and Leaders arrive at 9am -- Newer Scouts
and Leaders arrive at Noon -- Parents/families coming for cookout arrive at
5:30pm
Sunday, May 10, 2009 -- All depart at 9am
WHERE: Tubbs Meadow Preserve (Pembroke, MA) off Monroe Street. Note that scouts should pack there gear for the ~1/4 mile walk from the parking lot to the campsite. For packing advice, newer scouts may want to consult with their Scout handbook, their Troop Guide (Jacob Skolnick) or their Senior Patrol Leader (Brad Davison).
TIMES: Meet at Tubbs Meadow Preserve (parking lot is off Monroe Street) in Pembroke (Older Scouts/Leaders Saturday at 9am, newer scouts/leaders Saturday at noon, families for cookout Saturday at 5:30). Check in with Mr. Skolnick on arrival. Pickup scouts and Webelos from Tubbs Meadow Preserve (at parking lot) on Sunday morning ~9am. Check out with Mr. Skolnick before leaving.
ACTIVITIES: The camp out activities will include a scout craft, games, family cookout, and troop crossover program
MEALS: Patrols (including the combined Senior patrol and Adult leaders) will be responsible for their own lunch on Saturday; the troop will provide dinner on Saturday and breakfast on Sunday. Scouts/Leaders must bring their own mess kits. The Troop will provide a common wash station for cleanup.
COST: $12 per scout ($5 per family members attending cookout on Saturday), includes campsite and food, payable when submitting the permission form.
CONTACT INFORMATION DURING EVENT: David Skolnick, cell phone, 781-856-5884
CONTINGENCIES: In case of severe weather, the troop will activate the phone tree to contact families for emergency pickup. If the weather is severe during the campout, please be available at your contact phone number for this is contingency.
Permission Slip:
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Scout/Adult |
Name |
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Age |
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Address |
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Participant Itinerary Information: Unless otherwise noted below, it is assumed that all scouts and adults will be:
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Personal (Exceptions To
Group) Travel Itinerary: |
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Late
Arrivals Arrival Date |
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Estimated
Arrival Time |
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Early
Departures Departure Date |
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Estimated
Departure Time |
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Other |
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Note: Any changes to Scout(s) personal travel itinerary, unless documented on this permission slip for this event, must be communicated to the Camping Coordinator, Committee Chairman, or Scoutmaster.
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In case of emergency,
notify: |
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Name: |
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Relationship: |
Parent/Guardian |
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Address: |
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Home
Phone: |
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Cell
Phone: |
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Other
Instructions: |
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Med.
Ins. Plan: |
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Policy
#: |
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Have or is subject to
(check if yes): |
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Asthma |
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Fainting |
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Convulsions |
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Diabetes |
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Heart
Cond. |
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Allergies |
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List: |
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Medication
Reactions |
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List: |
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Condition/Medication(s) |
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List: |
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Activity
Restrictions |
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Describe: |
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For adults/leaders, indicate most recent training date for
BSA Youth Protection Training. ____/____/________
Parent authorization to be signed by parent of those under 18 years of age:
I give my son permission to participate in the planned trip to Tubbs Meadow Preserve (Pembroke, MA) to camp and hike Saturday, May 9, 2009 to Sunday, May 10, 2009. The person herein described has my permission to engage in all prescribed activities except as noted by the physician and me. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the adult leader in charge to hospitalize, secure proper anesthesia, or to order injection or surgery for my son.
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Name
(print) |
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Relationship
(circle one): |
Parent/Guardian |
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Signature |
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Date |
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Driver Info Slip:
(Drivers need to complete both the driver info slip and provide their information on the permission slip.)
I, ________________________________________
(Adult/Leader) will be able to drive ______
(number of scouts) either (circle one) To or From or To-and-From this event.
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BSA Tour Permit Info |
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Driver's
License Number |
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State |
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Vehicle
Make and Model |
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Year |
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Vehicle
Registration No. |
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State |
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Passenger
Capacity |
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Liability
Ins. Amount/Accident |
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Liability
Ins. Amount/Passenger |
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Driver's Pledge I will follow the BSA guidelines for safe driving, and I will make sure that all occupants of my vehicle wear seat belts at all times while in my vehicle. |
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Name
(print) |
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Vehicle
(circle one): |
Owner/Leasee |
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Signature |
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Date |
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