Troop 919 Boy Scouts of America
Troop Activity Commitment

Troop 919 is planning an outing to: EMS Store Tour The trip will begin: Thursday, January 21, 2010 at 6:00 pm -  8:00 pm .

                                    Parents are required to drop off and pick-up their Scouts
                                                                  at the EMS Store on Rt 58 and Rt4 across from Christiana Hospital
 
 

The troop suggests that each scout Be Prepared with the following equipment:
Uniform Shirt and/or Troop Sweat Shirt

Keep this half for your information
Return this half at this Thursday meeting prior to the trip.

Scout: ___________________________________ has my permission to go on the following trip: EMS Store Tour, scheduled on Thursday, January 21, 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: ________________________________________________________