BOY SCOUTS OF AMERICA TROOP 22

Permission Slip

Activity Planned: Marc Druez’ Eagle Scout Service Project!

Date(s): August 10 & 11, 2002 Destination: Sage Ranch Park

Departure From: Your house (please provide your own transportation, and thank you)

Time: Any time you can give between 8 a.m. & 3 p.m. on Saturday,

from 8 a.m. til we are done on Sunday

Contact Person for Questions Regarding Outing: Marc Druez (818) 340-3705

Emergency Contact Person: Patrick Druez (my dad)’s Cell (562) 824-3793

------------------------------------------------------Detach Here-----------------------------------------------------------

Scout Trip Permission Form

(To Be Completed by Parent or Guardian)

Youth’s Name:

_________________________________________________________________________

Has my permission to attend Marc Druez’ Eagle Scout Service Project at Sage Ranch Park

Saturday and/or Sunday, August 10/11, 2002. In the event emergency medical treatment is required, I hereby give permission for any adult from Troop 22 to authorize such treatment.

______________________________________ ________________________________

Signature of Parent or Guardian Telephone Number

______________________________________________ ______________________________________

Telephone number where parent or guardian can be Emergency contact (if the parent or guardian

reached during the outing (if different from above) is not available) & phone