Troop 919 Boy Scouts of America
Troop Activity Commitment

Troop 919 is planning a trip to: Three R's Beach - Sussex County, DE The trip will begin: Saturday June 11, 2011 at 7:30 am(sharp), and will end: Saturday June 11, 2011 at 7:00 pm       (approximate time). Departure and arrival will be from Church parking lot.

The troop suggests that each scout Be Prepared with the following equipment:

Troop T-shirt......WATER
Bathing Suit...Towel
Sneakers...Sun Block
Sunglasses
                                           There will be no cost for this activity,
                            Scouts and Adult Leaders should bring their own Lunch.

Keep this half for your information


Scout: __________________________________________ has my permission to go on the following trip: Three R's Beach - Sussex County, DE, scheduled on the following date(s): June 11, 2011.

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: ________________________________________________