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Troop 413 Medical Release Form and Permission Slip
As
the parent or legal guardian of
(Insert Scout or
Adult Leader Name Name)
I, hereby, give my permission for him to participate in an outing with
Troop 413.
Please be advised...Everyone attending must have the
following completed prior to the trip or no trip... sorry
bro...
- All waivers, permission slips signed by parents or guardians
(this will be available online soon)
- Money paid in full at time of registration. (Mr. Dalton
will be handling the money... I will screw it up)
- BSA Safety Afloat training completed. Training will be
offered this month.
- Complete a Swim Test and be at the swimmer level. (Summer
camp swim test counts)
If you are not at the swimmer level you can still come but maybe
not raft; there are other things you can do.
Here's what we're gonna be doing...
Who: This
is not a family trip... scouts & leaders only. All age groups are
invited! We had over 50 people last year!
What: Rafting and
Duckie Experience!
Total Cost per Scout is $40 to
cover food, and fuel, camping, morning raft trip.(does not include
second trip)
(Optional) Second Trip Duck Trip is $10
When: September 16,17,18, 2011
Camping: Car
Camping
Why: Cause it's fun!
Trip Environmental /Conservation project: To be determined
by PLC (Hint... Leave No Trace)
Climate: 60's-80's
during the day, 30's -50's night; windy; rain anytime
Cellular Service: Verizon & U S Cellular
Power: None (your
car)
Fuel/gas: Cheaper
here than there by .20 cents a gallon
Bathrooms/Showers: Walking
distance: Both are across the street at the outfitter
Money: Money for wetsuit, food on the way up and back,
T-shirt at Outfitter store, tip for the guide (optional).
Leaders: Keep your
receipts for fuel recovery costs by troop
The Schedule:
Friday
Departure: Christ Covenant Parking Lot at 3:30 pm. (Traffic was a
beast last time so we are leaving earlier)
Arrive around 9 pm at the river. Hope you know how to set a tent up
at night.
Meal Enroute: Bag Supper or eat before you arrive (1 bathroom stop)
Class A Unifrom; NO Neckerchiefs PLEASE!!!
Saturday:
- Breakfast at the campsite (Bring Stoves) Only
one campfire ring
- Morning Raft Trip (Everyone)
- Lunch back at the campsite
- Afternoon duckie trip (Optional)
Sunday:
-
Breakfast prior to departure
-
Depart around 8 am (1 bathroom stop)
-
Home around 12 pm-1 pm
Cost for the raft
trip is:
- Camping $7.00/per person per night ($14.00 each/2 nights)
- Guide Assisted Raft Trip $21.00/per person (we'll have a sign up
for those wishing to go with a trained guide)
- Self Guided $18.00/per person
-
Optional Second Trip $10.00/person Single
Duck, Double, or Triple Ducks or anything in the yard (Price is
subject to change if we get discounts again)
- Free Pictures of your group on CD
- There are wetsuits for rent, bring cash for the wetsuit if you
want one. The water temperature is 45 degrees!
Leaders In Charge:
ASM: Trey Smith tsmith@rescuenc.com
Comittee: Curt Dalton rsdalton@carolina.rr.com
Medical Information:
Please
List Any Medications to Be Taken on this trip: (If none, state "None")
Please indicate dosage amount & when medicine must be administered.
Pertinent Medical Information (allergies, limitations, etc.):
(If none
state "None)
Further, I give permission to the leaders of Troop 413, EMS personnel or
medical facility to render First
Aid or medical treatment, should the need arise. In the event of an emergency, I also give
permission to the physician, selected by the adult leader in charge, to
hospitalize, secure proper anesthesia, order injections, or secure other
medical treatment, as needed. I further agree to hold the above named
unit 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.
In
case of emergency, I can be reached by phone at:
By
clicking this option, I certify I am the legal parent/ guardian of the
scout listed above and herby approve my son to attend the above
outing.
Parent /Guardian
Electronic Signature
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