Mission Viejo, CA / Information & Permission Slip
Tripmaster:
Cell: / E-mail
Outing / Destination:
Important: Plan to assemble at depart point by
Depart Point: / Return Point:
Depart Day: / Return Day:
Depart Time: / Return Time: /
Scout Cost: / (plus ~ cash for Pizza Shop Attack) /
- Make checks payable to “Troop 787”
if this box is checked
Adult Cost: / (plus ~cash for Pizza Shop Attack)
- LAST DAY AND TIME to turn in this Permission Slip & Money
- Uniforms: Class A for travel, Class B for activities, Class HA for High Adventure (optional).
Minimum Recommended Equipment:
Emergency Card
Day / Fanny Pack
Overnight Duffel Bag
Backpack
Water (3 qt. or ltr.)
Sack Lunch
10 Essentials
Swimming Trunks
Jacket / Sweater
Poncho / Tarp
Sleeping Bag/Pad
Hiking Poles or Staff
Hiking Boots
Camera
Hat W/Brim
*Mess Kit
Expected Weather:Temperature Range: Highs:~’sF / Lows:~’sF
Check all that apply>SunRainSnow Wind speed: mph.Precipitation: in.
Description:··················································· Please cut here and return bottom portion with payment to tripmaster ···················································
Obligation for Cost of this Outing: Any Scout or parent who signs up for an activity (campout, outing, etc.) will beresponsible for their portion of any expense associated with this outing whether they attend or not. In order for the scout family to not be responsible for the expenses associated with this activity, the Tripmaster MUST BE notified that the scout or parent will be unable to attend the activity and that they choose to cancel their signup prior to any expenses being committed or incurred by the Troop and/or the Tripmaster. Parent’s signature below indicates acceptance of this cost obligation.
Parent Permission / Waiver of Responsibility
Considering the benefits to be experienced, and that membership in the Boy Scouts of America is voluntary, and having full confidence that every reasonable precaution will be taken to ensure the safety of my son on the activity identified above, I give my permission for his participation and waive all claims against the leaders of this trip, officers and representatives of the Boy Scouts of America. Further, I will ensure that my son has in his possession a signed medical authorization form when he arrives for participation in the activity.
Date(s): ______Destinations:______
Scout: Name: ______
Phones:Home: ______Emergency: ______Return Day: ______
In event no one is at our home or arrives at the pickup point to pick my son upon return, I give my permission to:
Leave him at home: Leave him with neighbor: Hold at Scoutmaster’s home for parent to pick up:
Will parent participate: Y NWill parent provide transportation?: Y NIf yes, total # seatbelts: ______
Parent/Guardian Name:
Printed:: ______Signature:______