Troop 919 Boy Scouts of America
Troop Activity Commitment

Troop 919 is planning a trip to: Broad Creek Scout Reservation, Hartford County, MD. The trip will begin: Friday  Sept 17, 2010 at 5:30 pm(sharp), and will end: Sunday Sept 19, 2010 at 12:30 pm (approximate time). Departure and arrival will be from Church parking lot.
 All scouts will be required to be in full (Class A) uniform for departure and arrival.

The troop suggests that each scout Be Prepared with the following equipment:
Sleeping Bag ........................Troop Sweatshirt
Ground Pad ..........................Troop T-shirt
Rain Gear - Poncho .............Camp Clothing (2 extra changes)
Extra socks (2 pair - min) ....Flashlight
Coat........................................Personal care items
Saftey Glasses......................Sound Muffs (if possible)
Scout Manual.......................

                                The cost of the trip will be $25 per Scout and $10 for Adult Leader.
                                         Food will be purchased by Troop, planned and prepared by Patrol.

Keep this half for your information


Return this half with payment at the Thursday  meeting.

Scout: ______________________________________________________ has my permission to go on the following trip: Broad Creek Scout Reservation, MD , scheduled on the following date(s): Sept 17, 18 and 19, 2010.

In consideration of the benefits to be derived, we expressly waive all claims against Troop 919, St. Catherine of Siena and the DelMarVa and National Council of the Boy Scouts of America, or their representatives in connection with, or incident to, this event. He is in good physical health, unless noted otherwise on the reverse side of this page. In the event of an emergency, I hereby authorize trained medical personnel to treat my son.

In case of emergency please notify:

Name: ________________________________________

Address: _______________________________________

Telephone #: ____________________  Alt Tel: _________________________

______ I CAN _______ CANNOT provide transportation assistance for this event.

______ I DO _______ DON’T plan to join the troop on this activity.

Parent Signature: __________________________________________________