Troop 733 Campout and Rifle Safety/Shooting Activity

Permission Slip and Parent Release Form

Location: Winding Trails and Isaac Walton League, Mt. Airy, MD        Date: Mar. 24-26, 2006

Departure Site: Winfield Fire Hall                             Date: 3/24/06    Time: 5:30 PM

Return Site: Winfield Fire Hall                                  Date: 3/26/06    Time: Approx. 3 p.m.

Permission Slip Due By:  March 15, 2006

Special Instructions: 

Saturday will be spent at the Isaac Walton League participating in a rifle safety/shooting activity.  Strict rifle range safety guidelines will be adhered to and the activity will be under the direction of adult supervision.

The return trip on Sunday will be later than usual, to allow time for advancement work, Scout skills, and Scoutmaster Conferences.

The Troop will travel in Class A uniforms.

If you must reach the troop during this outing, contact the Scoutmaster on his cell phone (443-536-1237)

Parent Release Form & Transportation Survey

Scout(s) ________________________________ may participate in the Troop 733 activity: Campout and Rifle Safety/Shooting Activity @ Camp Winding Trails and Isaac Walton League, Mt. Airy, MD on 3/24/06 to 3/26/06.

I do hereby grant my permission to hospital or health center staff members to hospitalize, secure proper anesthesia, order injection, or secure other medical treatment as needed to my son should he become injured or become ill while participating in the above activity.

I further agree to hold Troop 733 and its leaders blameless for any accidents that might occur during this outing except for clear acts of negligence or non-adherence to BSA policies and guidelines.

Parent/Guardian's Signature

_______________________

Date

_________________________

I can be reached by phone at:

_______________________

Or:

_________________________

If I cannot be reached, please contact:

Name _______________________________________

Telephone No. _________________

Insurance Company ____________________________

Policy No. _____________________

INDICATE ANY MEDICATION, ALLERGIES OR OTHER SPECIAL HEALTH PROBLEMS

______________________________________________________________________________

______________________________________________________________________________

Participation Survey

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I can provide round trip transportation for _____ Scouts for this activity;

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I cannot provide transportation for this activity;