Troop 37
June 2016 Camp Out and Bike Ride ______
Camping at: Elroy City Park Campground along the Elroy- Sparta Bike Trail
Activities: Bike Ride of approximately 20 miles & other fun activities
Departure: St. Peter parking lot Friday, June 10th at 5:30 PM
Return: St. Peter parking lot Sunday , June 12th at approx.. 1 PM
We will be leaving from and returning to St. Peter Lutheran Church. Scouts must travel in
uniform(class A shirt) . Bring a sack dinner for Friday evening to eat while traveling.
Adult Leader in charge: TBD
Scout fees:
Camping fee $6
Food for 4 meals & snacks $15
Transportation Fee( 412 miles round trip) $30
* If 16 or over add $5 for bike trail permit fee $5
Total per Scout ( cash, check payable to Troop 37, or camp credits) $51 or $56
Adult fees :
Food for 4 meals & snacks $15
Bike trail permit fee $5
Total Cost per Adult ( cash, check payable to Troop 37, or camp credits) $ 20
Please complete the bottom portion of this form and return it along with fees to Mrs. Balcerak by the
Troop meeting on Monday, June 6th ( there is no troop meeting on Memorial Day ( May 30th)
Please e-mail me that you are going ASAP so I can have a complete roster by Monday, May 23rd if possible. You can also mail or drop off your paperwork & $$ to 306 N. Waterman , AH, 60004.
______
To Whom It May Concern: June 10th-12th, 2016
I give permission for my son, ______to accompany members of Troop 37 on the campout to Elroy City Park Campground , ride the Elroy –Sparta bike trail and swim at the Elroy City Park Pool. In consideration of the benefits to be realized by him from his experience, I hereby release, waive, discharge, and covenant not to sue the Leaders of the Troop, it's sponsoring institution, and the Boy Scouts of America and it's officers and members (releases) from all loss or damage, and any claim or damage on account of injury to the person or property, whether caused by the negligence of the releases or otherwise while the Scout is participating on the outing.
I authorize Leaders of the Troop to act as guardians in procuring emergency medical treatment for the Scout in the unlikely event that such treatment should be necessary and the Scout's parent or guardian cannot be contacted.
______
(Signature of parent/guardian) Emergency contact person)
______
(Phone number) (Phone number)
□ My son can attend the entire campout. Amt Pd: ______
Patrol: ______
□ My son can attend a portion of the campout. Use CAMP CREDITS: Y / N
My son will arrive late. I will bring him on ______at ______o’clock.
My son must leave early. I will pick him up on ______at ______o’clock.
I, ______would also like to attend the campout.
I can assist with driving. I can drive ___there, ____back _____both ways.______I have a bike rack that holds _____ bikes