August 2017Campout Permission Slip

When: Saturday, August 5, 2017 – Sunday August 6, 2017

Where: Broken Bow, OK (approx 3 hours northeast)

What:18-mile overnight Kayak Trip

Cost:$95 per Scout or Adult

Departure Time: Meet at Riverside @ 6:00 am on Saturday, August 5

Return Time: Sunday, August 6 between 7pm and 8pm

NOTE: Check website for any adjustments to Departure and Return Times!

  • Eat breakfast or bring sack breakfast before arriving on Saturday morning
  • Arrive in Class A uniform
  • Be prepared! – Bring weather appropriate clothing & other supplies
  • SUNSCREEN, HAT, WATER SHOES RECOMMENDED
  • WEAR A SHIRT WITH SUNBLOCK
  • TOPS OF FEET AND THIGHS GET SUNBURNED ON CANOE TRIPS

THIS IS A KAYAK TRIP ONLY.

YOU MUST BE COMFORTABLE KAYAKING IN A RIVER BY YOURSELF.

YOU MUST BE A SWIMMER.

Deadline to sign-up: Monday, July 31

**********SPECIAL NOTE*********

Please call Mr. Alexander if you unexpectedly CANNOT attend the campout

972-880-1875

**********SPECIAL NOTE*********

Return the second page of this form along with your payment

Event:August 5-6, 2017 Kayak Campout

Scouts Name:

My son ______has my permission to attend the above event and to be transported by the Scoutmaster or his designee. I understand that there will be a minimum of two adult leaders at all times during the activity. I will arrange for my son to be picked up after the activity and ensure that he has the proper clothes, equipment, and money necessary for this activity. I also certify that my son can meet the health and physical fitness requirements of this trip/activity. He does not require any medication, special food or special needs unless specifically described below. Medicine will be provided prior to departure.

Medication or special food needs: (Please write N/A if none)

______
______

Allergic reactions: (Please write N/A if none)

______
______

Special Needs: (Please write N/A if none)

______
______

In Case of Emergency:

I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the licensed health-care practitioner selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child.

______

Parent signature Emergency Phone Numbers

______

Date

I will attend event as an adult leader. Yes No

Name of Adult: ______

I will attend event as an adult leader and can drive*. Yes No

I will not attend but will be willing to drive on Friday* (if needed)YesNo

I will not attend but will be willing to drive on Sunday* (if needed)YesNo

*If willing to drive please complete the following vehicle info

Vehicle Information for Drivers of Troop 807

Owner's Name
Year Make
Make
Model
# of Seatbelts / Passengers
TX DL #
Public Liability Insurance Coverage
Each Person (in $100k)
Each Accident (in $100k)
Property Damage (in $100k)

Notes:

3 hours, 186 miles

River Rats Canoe Rental

Fred 580-236-1099

Credit card reservation by Carl Nemec

$80 rental cost per canoe

$2.50 camping at Wakefield Landing cost per camper

$20.41 estimated cost for fuel and food per camper